Joanne Marie Grzeszak Do Pc | |
806 Alger St Se Grand Rapids MI 49507-3803 | |
(616) 452-8923 | |
Not Available |
Full Name | Joanne Marie Grzeszak Do Pc |
---|---|
Speciality | General Practice |
Location | 806 Alger St Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Joanne M Grzeszak (PROVIDER) |
Authorized Official Contact | 6164528923 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joanne Marie Grzeszak Do Pc 4310 Leonard St Nw Suite 103 Walker MI 49534-8447 Ph: (616) 453-6329 | Joanne Marie Grzeszak Do Pc 806 Alger St Se Grand Rapids MI 49507-3803 Ph: (616) 452-8923 |
NPI Number | 1619147493 |
---|---|
Provider Enumeration Date | 03/07/2008 |
Last Update Date | 01/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619147493 | NPI | - | NPPES |
2812013 | Medicaid | MI | |
54100135 | Other | MI | BCBS |
0154100134 | Other | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 00714 (Michigan) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
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