NPI 1497130132 · live from the CMS NPI Registry
Branch Pediatric&Adolescent Medicinepc
Pediatrics, Adolescent Medicine in Coldwater, MI. National Provider Identifier 1497130132, active.
NPI record
| NPI | 1497130132 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 390 E Chicago St, Coldwater, MI 49036 |
| Practice phone | 616-818-9750 |
| Enumerated | July 23, 2015 |
| Last updated | September 17, 2021 |
| Authorized official | Mehalai Arivoli, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 065709 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.