MARIA E DIMUSTO-POORTENGA

GRAND RAPIDS, MI
NPI1013940980
Other NameMARIEL ELIZABETH DIMUSTOPOORTENGA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MI  4301068818)
Additional Taxonomies208000000X Pediatrics
(Licence: MI  4301068818)
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: OH  35C001071)
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MI  1013940980)
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL  ME141884)
Enumeration Date2006-07-07
Last Update Date2023-12-05
Business Address
MARIA E DIMUSTO-POORTENGA MD
200 JEFFERSON AVE SE NICU
GRAND RAPIDS, MI 49503-4502
Phone number: 616-752-6554
Mailing Address
MARIA E DIMUSTO-POORTENGA MD
245 STATE ST SE
GRAND RAPIDS, MI 49503-4328
Phone number: