Spero Psychiatric Services Pllc | |
2828 Kraft Ave Se Ste 186 Grand Rapids MI 49512-2076 | |
(616) 591-6645 | |
(616) 949-9551 |
Full Name | Spero Psychiatric Services Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 2828 Kraft Ave Se Ste 186, Grand Rapids, Michigan |
Authorized Official Name and Position | Aaron Plattner (OWNER) |
Authorized Official Contact | 6165916645 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Spero Psychiatric Services Pllc 2828 Kraft Ave Se Ste 186 Grand Rapids MI 49512-2076 Ph: (616) 591-6645 | Spero Psychiatric Services Pllc 2828 Kraft Ave Se Ste 186 Grand Rapids MI 49512-2076 Ph: (616) 591-6645 |
NPI Number | 1811669484 |
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Provider Enumeration Date | 10/01/2021 |
Last Update Date | 10/01/2021 |
Certification Date | 10/01/2021 |
Medicare PECOS PAC ID | 2769880822 |
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Medicare Enrollment ID | O20211005000927 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811669484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Aaron John Plattner |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285891374 PECOS PAC ID: 8628251113 Enrollment ID: I20110902000588 |
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