| Ivanrest Foot And Ankle Specialists | |
|
3050 Ivanrest Ave Sw Ste E, Grandville, MI 49418-1400 | |
| (616) 406-0102 | |
| (616) 406-0105 |
| Full Name | Ivanrest Foot And Ankle Specialists |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3050 Ivanrest Ave Sw Ste E, Grandville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144750373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | James M Pouillon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710070883 PECOS PAC ID: 0749279735 Enrollment ID: I20040506000964 |
| Provider Name | Patricia Kolodziej |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659370666 PECOS PAC ID: 4385616614 Enrollment ID: I20060911000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivanrest Foot And Ankle Specialists 4310 Leonard St Nw Ste 103, Walker, MI 49534-8447 Ph: (616) 453-6329 | Ivanrest Foot And Ankle Specialists 3050 Ivanrest Ave Sw Ste E, Grandville, MI 49418-1400 Ph: (616) 406-0102 |
Grandville Foot And Ankle, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 3550 Fairlanes Ave Sw, Grandville, MI 49418 Phone: 616-534-3920 Fax: 616-534-0801 | |
Courtney Thenn, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3380 44th St Sw, Grandville, MI 49418 Phone: 616-685-1200 Fax: 616-685-1211 | |
Bradley Christiansen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3380 44th St Sw, Grandville, MI 49418 Phone: 616-685-2100 Fax: 616-685-1211 | |
Dr. Martin John Faasse, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3550 Fairlanes Sw, Grandville, MI 49418 Phone: 616-534-3920 Fax: 616-534-0801 | |
Dr. James M Pouillon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3050 Ivanrest Ave Sw Ste E, Grandville, MI 49418 Phone: 616-406-0102 Fax: 616-406-0105 | |
Martin J Faasse Dpm, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3550 Fairlanes Ave Sw, Grandville, MI 49418 Phone: 616-534-3920 Fax: 616-534-0801 |