| David Barney Family Medicine | |
|
6690 Crossings Dr Se Ste C Grand Rapids MI 49508-7394 | |
| (616) 600-1885 | |
| Not Available |
| Full Name | David Barney Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6690 Crossings Dr Se Ste C, Grand Rapids, Michigan |
| Authorized Official Name and Position | Charles J Zickus (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6164435806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Barney Family Medicine 6690 Crossings Dr Se Ste C Grand Rapids MI 49508-7394 Ph: () - | David Barney Family Medicine 6690 Crossings Dr Se Ste C Grand Rapids MI 49508-7394 Ph: (616) 600-1885 |
| NPI Number | 1932682044 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 10/29/2018 |
| Medicare PECOS PAC ID | 8729323175 |
|---|---|
| Medicare Enrollment ID | O20181213001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932682044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Phillip Joseph Gaca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912999210 PECOS PAC ID: 6901825546 Enrollment ID: I20051114000513 |
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