| Henry J Mulder, MD | |
|
1403 60th St Se, Kentwood, MI 49508-7065 | |
| (616) 719-4488 | |
| (616) 719-4480 |
| Full Name | Henry J Mulder |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 49 Years |
| Location | 1403 60th St Se, Kentwood, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881617439 | NPI | - | NPPES |
| 260042506 | Other | MI | RAILROAD MEDICARE |
| 260D110830 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4277490 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301043520 (Michigan) | Primary |
| Entity Name | Psychiatric Associates Of West Michigan Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841480134 PECOS PAC ID: 3072535285 Enrollment ID: O20051230000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry J Mulder, MD 1403 60th St Se, Kentwood, MI 49508-7065 Ph: (616) 719-4488 | Henry J Mulder, MD 1403 60th St Se, Kentwood, MI 49508-7065 Ph: (616) 719-4488 |
Philip S Fox, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1403 60th St Se, Kentwood, MI 49508 Phone: 616-719-4488 Fax: 616-719-4480 | |
Dr. Randall M Christenson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1403 60th St Se, Kentwood, MI 49508 Phone: 616-719-4488 Fax: 616-719-4480 | |
Dr. Gregory L Flentje, M.D. PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1403 60th St Se, Kentwood, MI 49508 Phone: 616-719-4488 Fax: 616-719-4480 | |
Michael W Grof, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2450 44th St Se, Suite 207, Kentwood, MI 49512 Phone: 616-243-9898 Fax: 616-243-4296 |