| Dr Kyle Sproull, MD | |
|
6425 Harvey St, Norton Shores, MI 49444-9739 | |
| (231) 798-4866 | |
| (231) 798-6391 |
| Full Name | Dr Kyle Sproull |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 6425 Harvey St, Norton Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417577933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301507907 (Michigan) | Primary |
| Entity Name | Age Management Of West Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558700625 PECOS PAC ID: 2466686290 Enrollment ID: O20131010001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Sproull, MD 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-8000 | Dr Kyle Sproull, MD 6425 Harvey St, Norton Shores, MI 49444-9739 Ph: (231) 798-4866 |
Dr. Christie Mckinney, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-798-4866 Fax: 231-798-6939 | |
Nicholas Duplissis, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 |