Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNELISE ELIZABETH MEDINA
ActiveANNELISE ELIZABETH MEDINA is a Podiatric Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1184193617 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1184193617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2018 (7.760836510985 yrs)
- Last Updated
- Nov 14, 2018
Practice Information
- Address
-
1490 E BELTLINE AVE SEGRAND RAPIDS, MI, 495064336Browse MI providers · Browse ZIP 49506
- Phone
- 6169400040
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| CLAYTON REED HERMANN | BA | 1376073379 |
| NEAH MORGAN | — | 1326518531 |
| ALEISHA JOY KOLE | — | 1912557943 |
| NIKKI R PANTELIN | — | 1154941466 |
| ALICIA ALEJOS | — | 1669146783 |
| MONIQUE D PERDUE | — | 1104583525 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.