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JEFFREY STEPHEN MANTIA M.D. NPI 1437123650


NPI Information

NPI: 1437123650
Provider Name: JEFFREY STEPHEN MANTIA, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2845 44TH ST SW SUITE 200
GRANDVILLE, MI
ZIP 49418
Phone: (616) 538-2410
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Jeffrey Stephen Mantia, M.D. is a pediatrics in Grandville, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jeffrey Stephen Mantia, M.D. NPI is 1437123650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2845 44TH ST SW SUITE 200
GRANDVILLE, MI
ZIP 49418-200
Phone: (616) 538-2410
Fax: (616) 538-1557

The enumeration date for this NPI number is 2/14/2006 and was last updated on 7/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics4301061595MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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