Thomas J Henke, DO | |
625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | |
(616) 916-8063 | |
Not Available |
Full Name | Thomas J Henke |
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Gender | Male |
Speciality | General Practice |
Location | 625 Kenmoor Ave Se Ste 301, 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 |
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1922485515 | NPI | - | NPPES |
Entity Name | Source Medical Solutions |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326649120 PECOS PAC ID: 4789095647 Enrollment ID: O20201124003305 |
Mailing Address | Practice Location Address |
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Thomas J Henke, DO 3084 Barons Cove Dr, Edgewood, KY 41017-8131 Ph: () - | Thomas J Henke, DO 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 Ph: (616) 916-8063 |
Sruti Aiyaswamy, DO General Practice Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-0118 Fax: 616-267-0090 | |
Lourens J Willekes, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 751 Lafeyette Nw, Grand Rapids, MI 49503 Phone: 616-742-9945 Fax: 616-742-9967 | |
Dr. Mary Maya Mcphail-ciufo, D.O General Practice Medicare: Accepting Medicare Assignments Practice Location: 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 Phone: 616-267-7104 | |
Alan M Armstrong, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Jordan Chandler Walker, DO General Practice Medicare: Medicare Enrolled Practice Location: 2000 32nd St Se, Grand Rapids, MI 49508 Phone: 164-525-9006 | |
Kelsey Sturgis, PA-C General Practice Medicare: Accepting Medicare Assignments Practice Location: 743 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-456-9553 Fax: 616-454-5371 | |
Hyung T Kim, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 655 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-363-7690 Fax: 616-942-8917 |