| Grand River Medical Associates, Pllc | |
|
55840 Grand River Ave. Suite 300 New Hudson MI 48165 | |
| (248) 264-6169 | |
| (248) 264-6208 |
| Full Name | Grand River Medical Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 55840 Grand River Ave., New Hudson, Michigan |
| Authorized Official Name and Position | Jamie Taweel (OWNER, PHYSICIAN) |
| Authorized Official Contact | 2482646169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand River Medical Associates, Pllc 55840 Grand River Ave. Suite 300 New Hudson MI 48165 Ph: (248) 264-6169 | Grand River Medical Associates, Pllc 55840 Grand River Ave. Suite 300 New Hudson MI 48165 Ph: (248) 264-6169 |
| NPI Number | 1679976526 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 12/10/2014 |
| Medicare PECOS PAC ID | 7911229562 |
|---|---|
| Medicare Enrollment ID | O20141209002439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679976526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101016530 (Michigan) | Primary |
| Provider Name | Jamie G Taweel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386775419 PECOS PAC ID: 2961578653 Enrollment ID: I20080903000513 |
| Provider Name | Sarah E Tinsler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134484744 PECOS PAC ID: 4082917414 Enrollment ID: I20160119002345 |
| Provider Name | Megan S Lennox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134883986 PECOS PAC ID: 6800286014 Enrollment ID: I20211202000976 |
Healthy Urgent Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30488 Milford Rd, New Hudson, MI 48165 Phone: 111-111-1111 Fax: 111-111-1111 | |
Primary Telemed Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28243 Oakmonte Cir E, New Hudson, MI 48165 Phone: 248-342-0708 |