Female

Dr. Molly C. Maniscalco D.O.

Internal Medicine Physician in Grand Rapids, MI(View on Map)

Full Name

Dr. Molly Cade Maniscalco D.O.

NPI Number

1174751309

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/25/2009

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

5101018250

Contact
Information

Purpose

Mailing
Location

Address

100 MICHIGAN ST NE
100 MICHIGAN ST NE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49503-2560
49503-2560

Country

US
US

Telephone Number

N/A
(616) 391-3139

Health Information Exchange

Endpoint Type

DIRECT
FHIR

Endpoint

mmaniscalco75381@epic00.shdirect.org
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Endpoint Description

Unknown
Unknown

Use

Unknown
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

100 Michigan St NESte. A721Grand Rapids, MI495032560US
100 Michigan St NESte. A721Grand Rapids, MI495032560US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/25/2021

Provider Address

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