Dr. Madelon K. Krissoff
Geriatric Medicine
233 E. Fulton Suite #102
Grand Rapids
, Michigan 49503
Dr. Madelon K. Krissoff
Geriatric Medicine
233 E. Fulton Suite #102
Grand Rapids
, Michigan 49503
(616) 774-6839
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Madelon K. Krissoff
- 515 Lakeside Drive Se Suite 103
- East Grand Rapids, MI
- Zip : 49506
- Fax : (616) 774-6839
- Phone : (616) 774-2588
Second Address
- Dr. Madelon K. Krissoff
- 233 E. Fulton Suite #102
- Grand Rapids, MI
- Zip : 49503
- Fax : (616) 744-6839
- Phone : (616) 744-2588
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 4301406025 | MI |
National Provider Identifier
| NPI | 1134340003 |
|---|---|
| Provider Name | Dr. Madelon K. Krissoff |
| First Address | East Grand Rapids, MI 49506 |
| Second Address | Grand Rapids, MI 49503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 15/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4116499 | (05) | MI |
| E77501 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.