Emily Dietrich, MD | |
200 Jefferson Ave Se, Grand Rapids, MI 49503 | |
(616) 685-6501 | |
(616) 685-3052 |
Full Name | Emily Dietrich |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 200 Jefferson 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 |
---|---|---|---|
1053533646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 4301088429 (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 |
Entity Name | Advantage Health/saint Mary's Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
Mailing Address | Practice Location Address |
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Emily Dietrich, MD 1900 44th St Se, Kentwood, MI 49508-5008 Ph: () - | Emily Dietrich, MD 200 Jefferson Ave Se, Grand Rapids, MI 49503 Ph: (616) 685-6501 |
Dr. Marcos Itamar Cordoba Munoz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne, Maternal Fetal Medicine Dept, Grand Rapids, MI 49503 Phone: 616-391-3681 | |
Erin Michelle Fricke, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne Ste 5200, Grand Rapids, MI 49503 Phone: 616-391-3681 | |
Geron D Turke, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1787 Grand Ridge Ct Ne, Suite 201, Grand Rapids, MI 49525 Phone: 616-913-8601 | |
Lisa Anne Andersson-zetye, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2750 E Beltline Ave Ne Fl 1, Grand Rapids, MI 49525 Phone: 616-447-5850 | |
Dr. Jamie Huizinga, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503 Phone: 616-391-2160 Fax: 616-391-2683 | |
Abigail Christmas, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503 Phone: 616-391-2160 | |
Dr. Andrea C Wolfe, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 329 Saddleback Dr Ne, Grand Rapids, MI 49525 Phone: 616-486-6790 |