| Lifecare Of West Michigan Inc | |
|
1909 Ruddiman Dr Muskegon MI 49445-3147 | |
| (231) 733-0030 | |
| Not Available |
| Full Name | Lifecare Of West Michigan Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1909 Ruddiman Dr, Muskegon, Michigan |
| Authorized Official Name and Position | Ruth E Leestma (CEO) |
| Authorized Official Contact | 2317330030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Of West Michigan Inc 1909 Ruddiman Dr Muskegon MI 49445-3147 Ph: (231) 299-2900 | Lifecare Of West Michigan Inc 1909 Ruddiman Dr Muskegon MI 49445-3147 Ph: (231) 733-0030 |
| NPI Number | 1710659255 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 07/22/2022 |
| Medicare PECOS PAC ID | 9638567662 |
|---|---|
| Medicare Enrollment ID | O20211025002526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710659255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ann Marie Bays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194734814 PECOS PAC ID: 6507859956 Enrollment ID: I20040403000205 |
| Provider Name | Patricia A Wangerin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962442483 PECOS PAC ID: 4981720042 Enrollment ID: I20131108001045 |
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