| David S Duffey, DO | |
|
5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | |
| (616) 252-7200 | |
| (616) 252-7830 |
| Full Name | David S Duffey |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 5900 Byron Center Ave Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760454961 | NPI | - | NPPES |
| 5101011149 | Other | MI | STATE LICENSE |
| 4639169 | Medicaid | MI | |
| 3554110904 | Other | MI | GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101011149 (Michigan) | Primary |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| David S Duffey, DO 985 Gezon Pkwy Sw, Wyoming, MI 49509-9563 Ph: (616) 252-4655 | David S Duffey, DO 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7200 |
Robert Bulten, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4340 Burlingame Ave Sw, Wyoming, MI 49509 Phone: 616-475-7922 Fax: 616-475-7926 | |
Dr. Janet F Johns, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 56th St Sw, Wyoming, MI 49509 Phone: 616-514-3803 Fax: 616-243-1170 | |
Tiffany Allyn Letts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 Fax: 616-252-8461 | |
Dr. Rebecca L. Maki, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 56th St Sw, Wyoming, MI 49509 Phone: 616-243-5707 Fax: 616-243-1170 | |
Dr. Jamie D. Bosch, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 56th St Sw, Wyoming, MI 49509 Phone: 616-243-5707 Fax: 616-243-1170 | |
Dr. Temitayo Babalola Olojo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
Gail K Bryan-besteman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 Fax: 616-252-8460 |