Dr Joseph R Blodgett, MD | |
588 E Lakewood Blvd, 1st Floor, Holland, MI 49424-2023 | |
(616) 494-5840 | |
Not Available |
Full Name | Dr Joseph R Blodgett |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 588 E Lakewood Blvd, Holland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699736280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 4301056079 (Michigan) | Primary |
Entity Name | Mecosta County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386693471 PECOS PAC ID: 1951215540 Enrollment ID: O20031118000335 |
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 |
Entity Name | Reed City Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831253798 PECOS PAC ID: 6406740695 Enrollment ID: O20040210000104 |
Mailing Address | Practice Location Address |
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Dr Joseph R Blodgett, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Joseph R Blodgett, MD 588 E Lakewood Blvd, 1st Floor, Holland, MI 49424-2023 Ph: (616) 494-5840 |
Ling Wang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Daniel Golin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3235 N Wellness Dr, #120a, Holland, MI 49424 Phone: 616-399-0902 | |
Ronald Garett Shook, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 926 Washington Ave, Bldg C, Holland, MI 49423 Phone: 616-393-0166 | |
Nancy Macdonald, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 588 E Lakewood Blvd, Holland, MI 49424 Phone: 616-494-5850 Fax: 616-494-5901 | |
Dr. Allison Lynn Rund, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 588 E Lakewood Blvd, Holland, MI 49424 Phone: 616-494-5840 Fax: 616-494-5901 | |
Dr. Diane Devoll Vandermeer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 926 Washington Ave, Holland, MI 49423 Phone: 616-393-0166 Fax: 616-393-0167 | |
Karen Locke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 588 E Lakewood Blvd Fl 1, Holland, MI 49424 Phone: 616-494-5840 |