| Dr Kenneth J Fawcett Jr, MD | |
|
3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | |
| (616) 391-7800 | |
| (616) 391-7838 |
| Full Name | Dr Kenneth J Fawcett Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 3271 Clear Vista Ct Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972507788 | NPI | - | NPPES |
| 0N10270003 | Other | MI | MEDICARE GROUP |
| 4199704 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301054239 (Michigan) | Primary |
| 208000000X | Pediatrics | 4301054239 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth J Fawcett Jr, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: (616) 391-7800 | Dr Kenneth J Fawcett Jr, MD 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 Ph: (616) 391-7800 |
Maureen Tan Pedres, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Jeffery Allen Woo, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
Robert W Selfe, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Dr. Erin Megan Pettijohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
Dr. Andrew Leo Sochacki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
Aline De Quadros Teixeira, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |