| David E Blair, MD | |
|
150 Jefferson Ave Se, Grand Rapids, MI 49503-4306 | |
| (616) 685-8450 | |
| (616) 458-3526 |
| Full Name | David E Blair |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 150 Jefferson Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518910900 | NPI | - | NPPES |
| 4194566 | Medicaid | MI | |
| 2994936 | Medicaid | MI | |
| 4878515 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301042504 (Michigan) | Primary |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Blair, MD 245 State St Se, Grand Rapids, MI 49503-4328 Ph: (161) 668-5180 | David E Blair, MD 150 Jefferson Ave Se, Grand Rapids, MI 49503-4306 Ph: (616) 685-8450 |
Tammy Born Huizenga, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701 | |
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599 | |
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697 | |
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600 | |
Lucas Patrick Friedli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400 | |
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2335 Burton St Se Ste 130, Grand Rapids, MI 49506 Phone: 616-956-9400 Fax: 616-956-9708 | |
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225 |