| Samuel John Nystrom, | |
|
3443 Farr Rd, Fruitport, MI 49415-8779 | |
| (231) 672-2900 | |
| Not Available |
| Full Name | Samuel John Nystrom |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3443 Farr Rd, Fruitport, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760235600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5315248864 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 5151016783 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel John Nystrom, 1675 Leahy St Ste 315, Muskegon, MI 49442-5543 Ph: () - | Samuel John Nystrom, 3443 Farr Rd, Fruitport, MI 49415-8779 Ph: (231) 672-2900 |
Chase Burton, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-8284 | |
Dr. Kristen Kay Woods, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 Fax: 231-672-2901 | |
Nathan Dills, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 | |
Fizza Agha, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-727-5209 | |
Lauren Mcgraw, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 | |
Dr. Faith Elizabeth Sharp, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 | |
Darrell S Roelandt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 Fax: 231-672-2901 |