Dominique Patthanachardenphon, PHARM.D

NPI 1871618967 · on the registry since 2007

Practice

Address: 665 Seward Ave Nw Ste 320
Grand Rapids, MI 49504
Phone: (616) 267-7029
Organisation at this address: Spectrum Health Hospitals
Spectrum Health Primary Care Partners
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan