Heather Medema in Grand Rapids - Medical

Heather Medema - NPI 1326186735

Heather Medema is a Medical in Grand Rapids, Michigan. Heather Medema practices all healthcare services and medical treatments related to Medical. The NPI Number for Heather Medema is 1326186735. The last update date is 2015-06-10.

Heather Medema's current location address is 436 44th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6165319750 and fax number 6165319710. The mailing address for Heather Medema is 436 44th St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Heather Medema
Address 436 44th St Se, Grand Rapids, Michigan
Phone Number 6165319750
Fax Number 6165319710
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1326186735
Provider Enumeration Date 2007-02-01
Last Updated Date 2015-06-10

Provider Mailing Address Detail

Address 436 44th St Se
City Grand Rapids
State Michigan (MI)
Post Code 495484371
Phone Number 6165319750
Fax Number 6165319710

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5601003365
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Heather Medema

What is the unique provider identifier assigned to Heather Medema?

The Heather Medema has been issued the NPI (National Provider Identifier) 1326186735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Heather Medema's physical address?

The Heather Medema is physically located at 436 44Th St Se, in the city of Grand Rapids, MI, with the postal code 495484371.

What is the Heather Medema's specialty and taxonomy code?

The Heather Medema's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Heather Medema receive the assignment of its 1326186735 from the Centers for Medicare & Medicaid Services?

The Heather Medema was issued its 1326186735 by the Centers for Medicare & Medicaid Services on 2007-02-01.

When was the information pertaining to Heather Medema most recently updated or revised?

The details related to Heather Medema, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-10.

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