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MACFIELD PEDIATRICS AND FAMILY MEDICINE PC NPI 1447684857


NPI Information

NPI: 1447684857
Provider Name: MACFIELD PEDIATRICS AND FAMILY MEDICINE PC

Doing Business As: BRETON VILLAGE PEDIATRICS AND FAMILY MEDICINE PC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D2080933

Address:
2460 BURTON ST SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 295-5760
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MACFIELD PEDIATRICS AND FAMILY MEDICINE PC is a pediatrics in Grand Rapids, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MACFIELD PEDIATRICS AND FAMILY MEDICINE PC NPI is 1447684857. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Breton Village Pediatrics And Family Medicine Pc.

The provider's business location address is:

2460 BURTON ST SE
GRAND RAPIDS, MI
ZIP 49546-800
Phone: (616) 295-5760

The provider's authorized official is Masuma F Macfield .
The authorized official title is Pediatrician and has the following contact phone number (616) 724-4972.

The CLIA number assigned to this NPI record is 23D2080933 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2013 and was last updated on 5/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine8305045032MICHIGANNo
2208000000XPediatrics4301084408MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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