Family Health Partners Pc | |
1750 Grand Ridge Ct Ne Suite 302 Grand Rapids MI 49525-7043 | |
(616) 956-9400 | |
Not Available |
Full Name | Family Health Partners Pc |
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Speciality | Family Medicine |
Location | 1750 Grand Ridge Ct Ne, Grand Rapids, Michigan |
Authorized Official Name and Position | Michael Septer (PRESIDENT) |
Authorized Official Contact | 6169569400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Health Partners Pc 1750 Grand Ridge Ct Ne Suite 302 Grand Rapids MI 49525-7043 Ph: (616) 956-9400 | Family Health Partners Pc 1750 Grand Ridge Ct Ne Suite 302 Grand Rapids MI 49525-7043 Ph: (616) 956-9400 |
NPI Number | 1316053218 |
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Provider Enumeration Date | 08/22/2006 |
Last Update Date | 12/23/2009 |
Medicare PECOS PAC ID | 5991793721 |
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Medicare Enrollment ID | O20040503000252 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316053218 | NPI | - | NPPES |
080D121980 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101009470 (Michigan) | Primary |
302F00000X | Exclusive Provider Organization | 5101009470 (Michigan) | Secondary |
Provider Name | Michael J Septer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013908060 PECOS PAC ID: 2860480696 Enrollment ID: I20040503000397 |
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