Children'S Assessment Center
Pediatrics in Grand Rapids, MI. Organization (NPI-2).
NPI number1609809474
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1609809474
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Assessment Center
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 303842396 | MI | Yes |
Practice location
901 Michigan St NeGrand Rapids, MI 49503-3525
Phone 616-336-5160 · Fax 616-336-5193
Mailing address
901 Michigan St NeGrand Rapids, MI 49503-3525
Phone 616-336-5160 · Fax 616-336-5193
Authorized official
Cristina Buentello
Office Manager
6163365160
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