Mr Russell James Brouwer, LMSW | |
2249 Wealthy St Se Ste 110, East Grand Rapids, MI 49506-3055 | |
(616) 391-4600 | |
Not Available |
Full Name | Mr Russell James Brouwer |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2249 Wealthy St Se Ste 110, East Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194417998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801116452 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
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Mr Russell James Brouwer, LMSW 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Mr Russell James Brouwer, LMSW 2249 Wealthy St Se Ste 110, East Grand Rapids, MI 49506-3055 Ph: (616) 391-4600 |
Anna Reeve, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2249 Wealthy St Se, Suite 110, East Grand Rapids, MI 49506 Phone: 616-391-4600 Fax: 616-486-0133 | |
Carla L Klimp, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 521 Plymouth Ave Se, East Grand Rapids, MI 49506 Phone: 616-915-2183 | |
Mrs. Lynnae Dawn Guffie, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 Gladstone Dr Se, East Grand Rapids, MI 49506 Phone: 616-430-1866 | |
Sara Jean Forist, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2053 Englewood Dr Se, East Grand Rapids, MI 49506 Phone: 616-633-2438 |