Taylor Jon Huizenga, DO | |
615 S Bower St, Greenville, MI 48838-2614 | |
(616) 975-1845 | |
Not Available |
Full Name | Taylor Jon Huizenga |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 615 S Bower St, Greenville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538620521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101026673 (Michigan) | Primary |
Entity Name | Visionary Medical Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538216569 PECOS PAC ID: 1951404185 Enrollment ID: O20070308000475 |
Entity Name | Ecs Western Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
Entity Name | Epmg Southwest Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316405103 PECOS PAC ID: 2769719236 Enrollment ID: O20190806002532 |
Mailing Address | Practice Location Address |
---|---|
Taylor Jon Huizenga, DO 4100 Embassy Dr Se Ste 200, Grand Rapids, MI 49546-2416 Ph: (616) 975-1845 | Taylor Jon Huizenga, DO 615 S Bower St, Greenville, MI 48838-2614 Ph: (616) 975-1845 |
Nathan Debruine, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 S Bower St, Greenville, MI 48838 Phone: 866-542-7910 | |
Mason B Gay, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 S Bower St, Greenville, MI 48838 Phone: 616-754-4691 | |
Matthew B Dewys, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 S Bower St, Greenville, MI 48838 Phone: 616-754-4341 | |
Dr. Alexander William Clegg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 S Bower St, Greenville, MI 48838 Phone: 866-542-7910 Fax: 616-391-3674 | |
Michael Jared Foster, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 S Bower St, Greenville, MI 48838 Phone: 866-542-7910 |