| Lifeline Interventional Therapeutics, Pllc | |
|
1179 E Paris Ave Se Ste 100 Grand Rapids MI 49546-3682 | |
| (616) 400-5433 | |
| (616) 360-2034 |
| Full Name | Lifeline Interventional Therapeutics, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1179 E Paris Ave Se Ste 100, Grand Rapids, Michigan |
| Authorized Official Name and Position | William Paul Vanlonkhuyzen (PARTNER/PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 6164005433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Interventional Therapeutics, Pllc 1179 E Paris Ave Se Ste 100 Grand Rapids MI 49546-3682 Ph: (616) 400-5433 | Lifeline Interventional Therapeutics, Pllc 1179 E Paris Ave Se Ste 100 Grand Rapids MI 49546-3682 Ph: (616) 400-5433 |
| NPI Number | 1912726811 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912726811 | NPI | - | NPPES |
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