Dr Patricia Kolodziej, MD | |
350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | |
(616) 456-8515 | |
(616) 233-1108 |
Full Name | Dr Patricia Kolodziej |
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Gender | Female |
Speciality | Orthopaedic Surgery - Foot And Ankle Surgery |
Location | 350 Lafayette Ave 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 |
---|---|---|---|
1659370666 | NPI | - | NPPES |
4085196 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 4301056334 (Michigan) | Primary |
Entity Name | James M Pouillon Dpm Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144750373 PECOS PAC ID: 0749553352 Enrollment ID: O20170901002001 |
Mailing Address | Practice Location Address |
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Dr Patricia Kolodziej, MD 3565 Momentum Pl, Chicago, IL 60689-5335 Ph: (616) 456-8515 | Dr Patricia Kolodziej, MD 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 Ph: (616) 456-8515 |
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 |