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“Pediatric Rehabilitation Medicine Physician” (Grand Rapids, MI)

Location: Grand Rapids, MI
Taxonomy: Pediatric Rehabilitation Medicine Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1063021715 — MITTEN STATE PEDIATRIC THERAPY LLC
Practice Location Address:
5258 PLAINFIELD AVE NE STE A
GRAND RAPIDS MI
49525-1092
Practice Phone: 616-466-4068
1093720815 — ANDREA S KULDANEK MD
Practice Location Address:
235 WEALTHY ST SE
GRAND RAPIDS MI
49503-5247
Practice Phone: 616-840-8005
1639116122 — DOUGLAS E HENRY MD
Practice Location Address:
235 WEALTHY ST SE
GRAND RAPIDS MI
49503-5247
Practice Phone: 616-840-8005

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