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MATERNAL-FETAL MEDICINE ASSOCIATES P.C. NPI 1396943858


NPI Information

NPI: 1396943858
Provider Name: MATERNAL-FETAL MEDICINE ASSOCIATES, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 23D0906468

Address:
1000 E PARIS AVE SE
SUITE 210
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 285-3310
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MATERNAL-FETAL MEDICINE ASSOCIATES, P.C. is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MATERNAL-FETAL MEDICINE ASSOCIATES, P.C. NPI is 1396943858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 E PARIS AVE SE
SUITE 210
GRAND RAPIDS, MI
ZIP 49546-691
Phone: (616) 285-3310
Fax: (616) 285-3266

The provider's authorized official is Thomas Nicholas Balaskas .
The authorized official title is Ceo and has the following contact phone number (616) 285-3310.

The CLIA number assigned to this NPI record is 23D0906468 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/6/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialist4301062864MICHIGANYes

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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