Grand River Physical Medicine Plc is a
Preventive Medicine - Occupational Medicine based in Novi, Michigan. Grand River Physical Medicine Plc is licensed to practice in Michigan (license number 5101008610) and their current practice location is
39915 Grand River Ave, Suite # 750, Novi, Michigan. It can be reached at their office (for appointments etc.) via phone at
(248) 476-7775.
NPI number for Grand River Physical Medicine Plc is 1699119339 and their current mailing address is 39915 Grand River Ave, Suite # 750, Novi, Michigan. Grand River Physical Medicine Plc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699119339.
Healthcare Provider's Profile
Full Name | Grand River Physical Medicine Plc |
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Type | Facility |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 39915 Grand River Ave, Novi, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699119339
- Provider Enumeration Date: 04/24/2013
- Last Update Date: 06/17/2013
Medical Identifiers
Medical identifiers for Grand River Physical Medicine Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699119339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | SS008515 (Michigan) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 5101008610 (Michigan) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 4704268297 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grand River Physical Medicine Plc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Grand River Physical Medicine Plc 39915 Grand River Ave, Suite # 750, Novi, MI 48375-2153 Ph: (248) 476-7775 | Grand River Physical Medicine Plc 39915 Grand River Ave, Suite # 750, Novi, MI 48375-2153 Ph: (248) 476-7775 |
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