Gerald Van Wieren, M.d., P.c. | |
71 S Front St Grant MI 49327 | |
(231) 834-5676 | |
(231) 834-7211 |
Full Name | Gerald Van Wieren, M.d., P.c. |
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Speciality | Internal Medicine |
Location | 71 S Front St, Grant, Michigan |
Authorized Official Name and Position | Suzanne Martha Vanwieren (OFFICE MANAGER) |
Authorized Official Contact | 2318345676 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gerald Van Wieren, M.d., P.c. 71 S Front St Grant MI 49327 Ph: (231) 834-5676 | Gerald Van Wieren, M.d., P.c. 71 S Front St Grant MI 49327 Ph: (231) 834-5676 |
NPI Number | 1740431832 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 09/16/2009 |
Medicare PECOS PAC ID | 1456498898 |
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Medicare Enrollment ID | O20091016000484 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740431832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Gerald E Vanwieren |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780682252 PECOS PAC ID: 6901943349 Enrollment ID: I20091016000476 |
Grant Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 S Maple, Grant, MI 49327 Phone: 231-834-5995 Fax: 231-834-0248 | |