Dr Karen E Wiseman, MD | |
15100 Whittaker Way, Grand Haven, MI 49417-8696 | |
(616) 935-6300 | |
Not Available |
Full Name | Dr Karen E Wiseman |
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Gender | Female |
Speciality | Pediatrics |
Location | 15100 Whittaker Way, Grand Haven, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831222967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 4301087849 (Michigan) | Secondary |
208000000X | Pediatrics | 4301087849 (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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Dr Karen E Wiseman, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Karen E Wiseman, MD 15100 Whittaker Way, Grand Haven, MI 49417-8696 Ph: (616) 935-6300 |
Lindsay Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Tarin Lee Devoursney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Kira Rae Sieplinga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Dr. Angela K Tallon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1310 Wisconsin St Ste 204, Grand Haven, MI 49417 Phone: 616-844-4523 | |
Michelle Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 | |
Jerry Evert Vankuiken, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1445 Sheldon Rd, Suite 302, Grand Haven, MI 49417 Phone: 616-842-3250 Fax: 616-842-0754 | |
Julia Kathryn Davey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6300 |