| Joanne Marie Grzeszak Do Pc | |
|
806 Alger St Se Grand Rapids MI 49507-3803 | |
| (616) 452-8923 | |
| Not Available |
| Full Name | Joanne Marie Grzeszak Do Pc |
|---|---|
| Speciality | General Practice |
| Location | 806 Alger St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Joanne M Grzeszak (PROVIDER) |
| Authorized Official Contact | 6164528923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Marie Grzeszak Do Pc 4310 Leonard St Nw Suite 103 Walker MI 49534-8447 Ph: (616) 453-6329 | Joanne Marie Grzeszak Do Pc 806 Alger St Se Grand Rapids MI 49507-3803 Ph: (616) 452-8923 |
| NPI Number | 1619147493 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619147493 | NPI | - | NPPES |
| 2812013 | Medicaid | MI | |
| 54100135 | Other | MI | BCBS |
| 0154100134 | Other | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 00714 (Michigan) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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