12TH STREET PLLC

Internal Medicine Physician

NPI: 1790470409Organization

Specialties, Licenses & Credentials

Pediatrics Physician

Pediatrics

Code: 208000000X

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

Contact & Hours

Address: 3587 12TH ST
WAYLAND, MI 49348
Phone: (616) 648-4933

Quick Facts

NPI: 1790470409
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

Are you this provider?

Claim Your Profile