| Dennis Lake, MD | |
|
710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 | |
| (616) 949-6112 | |
| (616) 949-8530 |
| Full Name | Dennis Lake |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 710 Kenmoor Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700986205 | NPI | - | NPPES |
| 2890360 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301039973 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Lake, MD 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 Ph: (616) 949-6112 | Dennis Lake, MD 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 Ph: (616) 949-6112 |
Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897 | |
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118 | |
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150 | |
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999 | |
Wesley Hannah Shane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999 | |
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810 | |
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191 |