| Physician's Home Network, PLLC | |
|
3033 Orchard Vista Dr Se Suite 309 Grand Rapids MI 49546-7077 | |
| (616) 608-7403 | |
| (616) 608-7408 |
| Full Name | Physician's Home Network, PLLC |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 3033 Orchard Vista Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kurtis Smitko (CEO) |
| Authorized Official Contact | 6166087403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician's Home Network, PLLC 3033 Orchard Vista Dr Se Suite 309 Grand Rapids MI 49546-7077 Ph: (616) 608-7403 | Physician's Home Network, PLLC 3033 Orchard Vista Dr Se Suite 309 Grand Rapids MI 49546-7077 Ph: (616) 608-7403 |
| NPI Number | 1386971711 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386971711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | () | Secondary |
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