Maria E Dimusto-Poortenga
Pediatrician Neonatal-Perinatal Doctor
200 Jefferson Ave Se Nicu
Grand Rapids
, Michigan 49503-4502
Maria E Dimusto-Poortenga
Pediatrician Neonatal-Perinatal Doctor
200 Jefferson Ave Se Nicu
Grand Rapids
, Michigan 49503-4502
(616) 913-1818
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About
Features
Specialties
- Pediatrician
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Maria E Dimusto-Poortenga
- 245 State St Se
- Grand Rapids, MI
- Zip : 49503-4328
- Fax : (616) 913-1818
- Phone :
Second Address
- Maria E Dimusto-Poortenga
- 200 Jefferson Ave Se Nicu
- Grand Rapids, MI
- Zip : 49503-4502
- Phone : (616) 752-6554
Reviews
FAQs
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Where did Maria E Dimusto-Poortenga do her residency?
Where did Maria E Dimusto-Poortenga do her fellowship?
Is Maria E Dimusto-Poortenga board certified?
What type of doctor is Maria E Dimusto-Poortenga
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Where is Maria E Dimusto-Poortenga ’s practice located?
What is Maria E Dimusto-Poortenga ’s gender?
Is Maria E Dimusto-Poortenga a sole practitioner?
Is Maria E Dimusto-Poortenga accepting new patients?
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Does Maria E Dimusto-Poortenga accept insurance?
Does Maria E Dimusto-Poortenga offers telemedicine?
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What is Maria E Dimusto-Poortenga ’s NPI number?
Does Maria E Dimusto-Poortenga have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 4301068818 | MI |
| N | 2080N0001X | Neonatal-Perinatal Doctor | 1013940980 | MI |
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 4301068818 | MI |
National Provider Identifier
| NPI | 1013940980 |
|---|---|
| Provider Name | Maria E Dimusto-Poortenga |
| First Address | Grand Rapids, MI 49503-4328 |
| Second Address | Grand Rapids, MI 49503-4502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 11/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4120849 | (05) | MI |
| 4877886 | (05) | MI |
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.