| Mary B Broeckert, MD | |
|
2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | |
| (616) 391-6220 | |
| Not Available |
| Full Name | Mary B Broeckert |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2332 Alpine Ave Nw, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326125576 | NPI | - | NPPES |
| 4301043572 | Other | MI | STATE LICENSE |
| 4935255 | Medicaid | MI | |
| 4935273 | Medicaid | MI | |
| 1598712390 | Other | MI | GROUP NPI |
| 4935246 | Medicaid | MI | |
| 4935264 | Medicaid | MI | |
| 4935291 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301043572 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary B Broeckert, MD 100 Michigan St Ne, Mc 109 Attn Julie L, Grand Rapids, MI 49503-2560 Ph: () - | Mary B Broeckert, MD 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 Ph: (616) 391-6220 |
Tammy Born Huizenga, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701 | |
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599 | |
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697 | |
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600 | |
Lucas Patrick Friedli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400 | |
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6735 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-956-9400 Fax: 616-956-9708 | |
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225 |