| Ryan K Fontanilla, MD | |
|
300 68th St Se, Grand Rapids, MI 49548-6927 | |
| (616) 455-5270 | |
| (616) 455-5460 |
| Full Name | Ryan K Fontanilla |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 300 68th St Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083821110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301088070 (Michigan) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 8366A (Wyoming) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan K Fontanilla, MD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Ryan K Fontanilla, MD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5270 |
Cory Manoogian, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-559-5870 | |
Dr. Talal Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 68th Street Se, Pine Rest Christian Mental Health Service,, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Mark Melby Juel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0842 Fax: 616-559-5864 | |
Beenish Javaid, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-267-7104 | |
Subodh Jain, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 Phone: 616-447-5820 | |
Dr. Dora Eva Hillman, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1545 68th St Se Ste 200, Grand Rapids, MI 49508 Phone: 616-447-5820 | |
Daniel Mark Schellenberg, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000 |