| Randall W. Green MD PC | |
|
4070 Lake Dr Se Ste 201 Grand Rapids MI 49546-8294 | |
| (616) 774-8200 | |
| (616) 774-0304 |
| Full Name | Randall W. Green MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4070 Lake Dr Se Ste 201, Grand Rapids, Michigan |
| Authorized Official Name and Position | Randall William Green (PRESIDENT) |
| Authorized Official Contact | 6167748200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall W. Green MD PC 4070 Lake Dr Se Ste 201 Grand Rapids MI 49546-8294 Ph: (616) 774-8200 | Randall W. Green MD PC 4070 Lake Dr Se Ste 201 Grand Rapids MI 49546-8294 Ph: (616) 774-8200 |
| NPI Number | 1538489828 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538489828 | NPI | - | NPPES |
| 1073594 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
Gastroenterology Specialist PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 |
Huds Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5870 Thornapple River Dr Se, Grand Rapids, MI 49512 Phone: 269-364-3372 |
Spectrum Health Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Foremost Dr Se, Grand Rapids, MI 49546 Phone: 616-486-9460 |
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 |
Cherry Health - School Linked Vision Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-776-2263 |
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 |