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BREAST HEALTH & WELLNESS CENTER PC NPI 1710378989


NPI Information

NPI: 1710378989
Provider Name: BREAST HEALTH & WELLNESS CENTER PC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 23D2092243

Address:
655 KENMOOR AVE SE STE 201
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 920-0825
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BREAST HEALTH & WELLNESS CENTER PC is a surgery in Grand Rapids, MI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BREAST HEALTH & WELLNESS CENTER PC NPI is 1710378989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

655 KENMOOR AVE SE STE 201
GRAND RAPIDS, MI
ZIP 49546-604
Phone: (616) 920-0825

The provider's authorized official is Colleen App .
The authorized official title is Owner and has the following contact phone number (616) 920-0825.

The CLIA number assigned to this NPI record is 23D2092243 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 12/15/2023.


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
1208600000XSurgery4301070786MICHIGANYes

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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