| Internal Medicine Of West Michigan Pllc | |
|
3200 Eagle Park Dr Ne Suite 102 Grand Rapids MI 49525-7057 | |
| (616) 285-9090 | |
| (616) 285-7947 |
| Full Name | Internal Medicine Of West Michigan Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3200 Eagle Park Dr Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Phillip L Roslaniec (PARTNER) |
| Authorized Official Contact | 6162859090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of West Michigan Pllc 3200 Eagle Park Dr Ne Suite 102 Grand Rapids MI 49525-7057 Ph: (616) 285-9090 | Internal Medicine Of West Michigan Pllc 3200 Eagle Park Dr Ne Suite 102 Grand Rapids MI 49525-7057 Ph: (616) 285-9090 |
| NPI Number | 1619028412 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335243484 |
|---|---|
| Medicare Enrollment ID | O20070329000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619028412 | NPI | - | NPPES |
| G02811 | Other | MI | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
| Provider Name | Elizabeth Kozak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811076805 PECOS PAC ID: 9234233388 Enrollment ID: I20070329000031 |
| Provider Name | Mary S Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760561740 PECOS PAC ID: 8325142474 Enrollment ID: I20070329000052 |
| Provider Name | David A Listello |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508973538 PECOS PAC ID: 0244246098 Enrollment ID: I20071218000184 |
| Provider Name | Christopher James Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205276383 PECOS PAC ID: 3274852975 Enrollment ID: I20160712000748 |
| Provider Name | Andrew R Izzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639699481 PECOS PAC ID: 1355610114 Enrollment ID: I20200721000225 |
| Provider Name | Danielle Stephanie Strunk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336776566 PECOS PAC ID: 6507265964 Enrollment ID: I20231221000434 |
Gastroenterology Specialist Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 | |
Mfb Professional Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 Phone: 616-233-3480 Fax: 616-233-3481 | |
American Current Care Of Michigan Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544 Phone: 616-785-2619 Fax: 616-785-2623 | |
Patient One Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 28th St Se, Grand Rapids, MI 49508 Phone: 616-323-3999 Fax: 616-552-1618 | |
Elite Health, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Fulton St E, Suite A, Grand Rapids, MI 49503 Phone: 616-644-1423 Fax: 616-773-1291 | |
Cherry Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 | |
Dr Asif Azeem Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546 Phone: 616-942-6230 Fax: 616-942-6270 |