| Creekside Internal Medicine | |
|
358 68th St Sw Grand Rapids MI 49548-7179 | |
| (616) 281-0463 | |
| (616) 281-0576 |
| Full Name | Creekside Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 358 68th St Sw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Khan Khan (PRESIDENT) |
| Authorized Official Contact | 6169540600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Internal Medicine 358 68th St Sw Grand Rapids MI 49548-7179 Ph: (616) 281-0463 | Creekside Internal Medicine 358 68th St Sw Grand Rapids MI 49548-7179 Ph: (616) 281-0463 |
| NPI Number | 1235284076 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235284076 | NPI | - | NPPES |
| 1194836833 | Other | MI | NPI CHARLES ANDREWS, M.D. |
| 1770545139 | Other | MI | NPI KELLY SCHROEDER, PA-C |
| 1942311600 | Other | MI | NPI THEODOOR BEELS, M.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
Gastroenterology Specialist Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 | |
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Patient One Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 28th St Se, Grand Rapids, MI 49508 Phone: 616-323-3999 Fax: 616-552-1618 | |
Elite Health, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Fulton St E, Suite A, Grand Rapids, MI 49503 Phone: 616-644-1423 Fax: 616-773-1291 | |
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Dr Asif Azeem Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546 Phone: 616-942-6230 Fax: 616-942-6270 |