John Michael Formolo in Grand Rapids - Cardiovascular Disease
John Michael Formolo - NPI 1619921475
John Michael Formolo is a Cardiovascular Disease in Grand Rapids, Michigan. John Michael Formolo practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for John Michael Formolo is 1619921475. The last update date is 2008-03-31.
John Michael Formolo's current location address is 1000 E Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169498554. The mailing address for John Michael Formolo is 1000 E Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Michael Formolo |
|---|---|
| Address | 1000 E Paris Ave Se, Grand Rapids, Michigan |
| Phone Number | 6169498554 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619921475 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | 1000 E Paris Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495463680 |
| Phone Number | 6169498554 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | JF036515 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00322545 | MI | MEDICARE RRR |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Michael Formolo?
The John Michael Formolo has been issued the NPI (National Provider Identifier) 1619921475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John Michael Formolo's facilities are geographically located?
The facilities of John Michael Formolo are physically situated at the following location: 1000 E Paris Ave Se, Grand Rapids, MI, 495463680.
What is John Michael Formolo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Michael Formolo is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.
On what date did John Michael Formolo receive its 1619921475 assignment from the Centers for Medicare & Medicaid Services?
The John Michael Formolo was assigned its 1619921475 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Michael Formolo last refreshed?
The information related to the John Michael Formolo, including its address, specialty, and other relevant details, was last updated on 2008-03-31.
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