institution
West Michigan Cardiology, Pc
Specialist in Grand Rapids, Michigan
NPI 1780770859

West Michigan Cardiology, Pc is a Specialist based in Grand Rapids, MI. West Michigan Cardiology, Pc practices in Grand Rapids, MI. The NPI Number for West Michigan Cardiology, Pc is 1780770859 and holds a License No. TM058656 (Michigan).

The current practice location address for West Michigan Cardiology, Pc is 3210 Eagle Run Dr Ne Ste 100, Grand Rapids, MI and can be reached out via phone at 616-456-9553 and via fax at 616-454-5371.

Location: 3210 Eagle Run Dr Ne Ste 100, Grand Rapids, MI, 49515-0036
institution
Provider Profile Details
NPI Number
1780770859
Provider Name
West Michigan Cardiology, Pc
Credential
Provider Entity Type
Organization
Address
3210 Eagle Run Dr Ne Ste 100, Grand Rapids, MI, 49515-0036
Phone Number
616-456-9553
Fax Number
616-454-5371
Provider Enumeration Date
10/05/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060E960210 01 MI BLUE SHIELD
161 01 MI PRIORITY HEALTH
institution
Provider Business Practice Location Address Details
Address
3210 Eagle Run Dr Ne Ste 100
City
State
Zip
49525-7051
Phone Number
616-456-9553
Fax Number
616-454-5371
person
Provider Business Mailing Address Details
Address
3210 Eagle Run Dr Ne Ste 100
City
State
Zip
49525-7051
Phone Number
616-456-9553
Fax Number
616-454-5371
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
TM058656 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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