| Family Practice Associates Of West Michigan P.c. | |
|
6735 Cascade Rd Se Suite 100 Grand Rapids MI 49546-6887 | |
| (616) 975-2550 | |
| (616) 975-2555 |
| Full Name | Family Practice Associates Of West Michigan P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6735 Cascade Rd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Dennis Seth Vanwormer (OWNER, PRESIDENT) |
| Authorized Official Contact | 6169752550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Of West Michigan P.c. 6735 Cascade Rd Se Suite 100 Grand Rapids MI 49546-6887 Ph: (616) 975-2550 | Family Practice Associates Of West Michigan P.c. 6735 Cascade Rd Se Suite 100 Grand Rapids MI 49546-6887 Ph: (616) 975-2550 |
| NPI Number | 1801101985 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801101985 | NPI | - | NPPES |
| ON13300 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MI 5101009001 (Michigan) | Primary |
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