NPI 1386807782

Arida Siripong, MD

Practitioner Colon & Rectal Surgery Physician Grand Rapids, MI

Practice location

Address: 4100 Lake Dr SE Suite 205, Grand Rapids, MI 49546-8292
Phone: (616) 267-7100
Fax: (616) 267-7102
Mailing address: 100 Michigan St NE Mc 845, Grand Rapids, MI 49503-2560

Registered specialties (3)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 4301092889 (MI)

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 4301092889 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 206141 (LA)

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Registry record

NPI: 1386807782
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2008
Record last updated: 22 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.