Healthcare Provider Details

I. General information

NPI: 1760487540
Provider Name (Legal Business Name): HELGA VALDMANIS TORIELLO PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 MICHIGAN ST NE STE 465
GRAND RAPIDS MI
49503-2530
US

IV. Provider business mailing address

21 MICHIGAN ST NE STE 465
GRAND RAPIDS MI
49503-2530
US

V. Phone/Fax

Practice location:
  • Phone: 616-391-2701
  • Fax: 616-391-3114
Mailing address:
  • Phone: 616-391-2701
  • Fax: 616-391-3114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: