| Gastroenterology Consultants Plc | |
|
1525 E Beltline Ave Ne #101 Grand Rapids MI 49525-4598 | |
| (616) 828-5727 | |
| Not Available |
| Full Name | Gastroenterology Consultants Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1525 E Beltline Ave Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | John D Serini (OWNER) |
| Authorized Official Contact | 6168285727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Plc 1525 E Beltline Ave Ne #101 Grand Rapids MI 49525-4598 Ph: () - | Gastroenterology Consultants Plc 1525 E Beltline Ave Ne #101 Grand Rapids MI 49525-4598 Ph: (616) 828-5727 |
| NPI Number | 1861526196 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638190812 |
|---|---|
| Medicare Enrollment ID | O20051215000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861526196 | NPI | - | NPPES |
| 4819265 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 5101007294 (Michigan) | Primary |
| Provider Name | John D Serini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285679589 PECOS PAC ID: 8628099801 Enrollment ID: I20051215000386 |
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