Dr Olusanjo Olaoluwa Adeoye, MD, MBA | |
4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | |
(616) 267-8860 | |
(616) 267-8442 |
Full Name | Dr Olusanjo Olaoluwa Adeoye |
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Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 4100 Lake Dr Se, 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 |
---|---|---|---|
1477716348 | NPI | - | NPPES |
1477716348 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 4301104001 (Michigan) | Primary |
207X00000X | Orthopaedic Surgery | 4301104001 (Michigan) | Secondary |
Entity Name | Tmh Physician Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100 |
Mailing Address | Practice Location Address |
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Dr Olusanjo Olaoluwa Adeoye, MD, MBA 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Olusanjo Olaoluwa Adeoye, MD, MBA 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 Ph: (616) 267-8860 |
Dr. Charles D Bukrey, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1111 Leffingwell Ave Ne, Suite 100, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
John Mahajan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 | |
Walter M Braunohler, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-267-8860 Fax: 616-267-8442 | |
Scott David Burgess, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
Viet Huu Do, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 | |
Daniel Edward Hess, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 | |
Jacob Allen Lytle, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 |