Individual provider · Type 1 NPI

John Michael Formolo, MD

Cardiovascular Disease Physician · Grand Rapids, MI

NPI number 1619921475 Active

Practice location

1000 E Paris Ave SE, Ste 200
Grand Rapids, MI 49546-3680

Call (616) 949-8554 Map

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XJF036515 (MI)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1619921475

John Michael Formolo, MD's National Provider Identifier is 1619921475, issued on May 19, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 31, 2008.