Erica R Rose, MD | |
211 W Pine Lake Dr, Newaygo, MI 49337-8029 | |
(231) 652-1631 | |
(231) 652-1733 |
Full Name | Erica R Rose |
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Gender | Female |
Speciality | Family Medicine |
Location | 211 W Pine Lake Dr, Newaygo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679525414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 078083 (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 | Newaygo County General Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750404927 PECOS PAC ID: 4880503051 Enrollment ID: O20040423001232 |
Mailing Address | Practice Location Address |
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Erica R Rose, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Erica R Rose, MD 211 W Pine Lake Dr, Newaygo, MI 49337-8029 Ph: (231) 652-1631 |
Timothy M Bont, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 211 W Pine Lake Dr, Newaygo, MI 49337 Phone: 231-652-1631 Fax: 231-652-1733 | |
Michelle L. Lenz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 211 W Pine Lake Dr, Newaygo, MI 49337 Phone: 231-652-1631 Fax: 231-652-1733 |