Most Relevant Information
Provider Data
| NPI Number: | 1003294455 |
| Provider Name: | STEPHANIE-GRACE ABINOJA RAYMUNDO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2080P0202X |
| Specialty: | Pediatrics |
| License Number: | 4301507554 |
Most Important Dates
| Enumeration Date: | 05/18/2015 |
| Last Updated: | 12/05/2022 |
Provider Practice Location
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS
MI
495032559
Practice Location Phone/Fax
| Phone: | 6162679150 |
| Fax: |
Provider Mailing Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |