PENNANT PHYSICIAN SERVICES

GRAND RAPIDS, MI
NPI1245572007
Entity TypeOrganization
Authorized ContactFRANK E BELSITO
Cmo
616-252-5211
Organization Subpart ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
Enumeration Date2013-03-20
Last Update Date2013-03-20
Business Address
PENNANT PHYSICIAN SERVICES
555 MIDTOWNE ST NE SUITE 310
GRAND RAPIDS, MI 49503-5729
Phone number: 616-252-4765
Mailing Address
PENNANT PHYSICIAN SERVICES
2122 HEALTH DR SW SUITE 230
WYOMING, MI 49519-9698
Phone number:
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