Randall L Wolthuis in Grand Rapids - Clinical
Randall L Wolthuis - NPI 1639390743
Randall L Wolthuis is a Clinical in Grand Rapids, Michigan. Randall L Wolthuis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randall L Wolthuis is 1639390743. The last update date is 2007-07-09.
Randall L Wolthuis's current location address is 1000 Parchment Drive Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169579112 and fax number 6169572409. The mailing address for Randall L Wolthuis is 1000 Parchment Drive Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall L Wolthuis |
|---|---|
| Address | 1000 Parchment Drive Se, Grand Rapids, Michigan |
| Phone Number | 6169579112 |
| Fax Number | 6169572409 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1639390743 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1000 Parchment Drive Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495463663 |
| Phone Number | 6169579112 |
| Fax Number | 6169572409 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301006480 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680D145940 | MI | BCBS PIN |
Post Comment/ Review Below
What is the Randall L Wolthuis's 1639390743?
The Randall L Wolthuis's NPI (National Provider Identifier) Number is 1639390743. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randall L Wolthuis located?
The Randall L Wolthuis is located at 1000 Parchment Drive Se, Grand Rapids, MI 495463663.
What is the Randall L Wolthuis's specialty and taxonomy code?
The Randall L Wolthuis's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Randall L Wolthuis receive its 1639390743?
The Randall L Wolthuis was issued its 1639390743 on 2007-05-02, which is the date when the organization was assigned this unique identifier.
When was the information regarding Randall L Wolthuis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Randall L Wolthuis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.