| Greg Weichhand Llc | |
|
2716 East Paris Ave Se Grand Rapids MI 49546-6139 | |
| (616) 975-0700 | |
| Not Available |
| Full Name | Greg Weichhand Llc |
|---|---|
| Speciality | Counselor |
| Location | 2716 East Paris Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Gregory Weichhand (THERAPIST) |
| Authorized Official Contact | 6169158400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Weichhand Llc 54 Oswego St Nw Grand Rapids MI 49504-6046 Ph: (616) 915-8400 | Greg Weichhand Llc 2716 East Paris Ave Se Grand Rapids MI 49546-6139 Ph: (616) 975-0700 |
| NPI Number | 1720784648 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 3870968191 |
|---|---|
| Medicare Enrollment ID | O20230418002185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720784648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Gregory Andrew Weichhand |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1083966287 PECOS PAC ID: 4789059007 Enrollment ID: I20230418002244 |
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