| Braden Daniel Engstrom, | |
|
2917 Port Sheldon St, Hudsonville, MI 49426-9314 | |
| (616) 252-5437 | |
| Not Available |
| Full Name | Braden Daniel Engstrom |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2917 Port Sheldon St, Hudsonville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649852971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301514724 (Michigan) | Primary |
| Entity Name | Friend Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578560090 PECOS PAC ID: 2062494552 Enrollment ID: O20040805001242 |
| Mailing Address | Practice Location Address |
|---|---|
| Braden Daniel Engstrom, 2917 Port Sheldon St, Hudsonville, MI 49426-9314 Ph: (616) 252-5437 | Braden Daniel Engstrom, 2917 Port Sheldon St, Hudsonville, MI 49426-9314 Ph: (616) 252-5437 |
Kurt Meppelink, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700 | |
Leah Ballantyne Peirce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St Ste C, Hudsonville, MI 49426 Phone: 616-669-9238 | |
Kelly B Huggett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426 Phone: 616-669-9238 Fax: 616-669-8296 | |
Caitlin Mlynarek, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700 Fax: 616-252-8750 | |
Dr. Kimberly Bain Mitcham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St Ste C, Hudsonville, MI 49426 Phone: 616-669-9238 | |
Joash Ajay Raj, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426 Phone: 616-669-9238 |