Family Medicine Specialists, Pc | |
721 3 Mile Rd Nw Ste 200 Grand Rapids MI 49544-8224 | |
(616) 647-3770 | |
(616) 647-3776 |
Full Name | Family Medicine Specialists, Pc |
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Speciality | Family Medicine |
Location | 721 3 Mile Rd Nw Ste 200, Grand Rapids, Michigan |
Authorized Official Name and Position | Terrence Patrick Wright (PRESIDENT) |
Authorized Official Contact | 6166473770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medicine Specialists, Pc 721 3 Mile Rd Nw Ste 200 Grand Rapids MI 49544-8224 Ph: (616) 647-3770 | Family Medicine Specialists, Pc 721 3 Mile Rd Nw Ste 200 Grand Rapids MI 49544-8224 Ph: (616) 647-3770 |
NPI Number | 1962517771 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4183783244 |
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Medicare Enrollment ID | O20081104000300 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962517771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Michigan) | Primary |
Provider Name | Jeffrey J Vanwingen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053349993 PECOS PAC ID: 1153359450 Enrollment ID: I20050728000566 |
Provider Name | Bethanie Joy Thompson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770696361 PECOS PAC ID: 0143224220 Enrollment ID: I20060901000091 |
Provider Name | Terrence P Wright |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124056643 PECOS PAC ID: 6204848492 Enrollment ID: I20060921000541 |
Provider Name | Jill M Perry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548481179 PECOS PAC ID: 5092816181 Enrollment ID: I20070719000171 |
Provider Name | Cynthia L Schuler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235167032 PECOS PAC ID: 8729147897 Enrollment ID: I20101005001200 |
Provider Name | Carolyn Rivard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871119362 PECOS PAC ID: 2961825856 Enrollment ID: I20240104001512 |
Provider Name | Molly Kempa Stadt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407472087 PECOS PAC ID: 5799108684 Enrollment ID: I20240105002002 |
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