| Michigan Nutrigenetics | |
|
6701 Boca Vista Dr Ne Unit 102 Rockford MI 49341-9655 | |
| (616) 255-5338 | |
| Not Available |
| Full Name | Michigan Nutrigenetics |
|---|---|
| Speciality | Internal Medicine |
| Location | 6701 Boca Vista Dr Ne Unit 102, Rockford, Michigan |
| Authorized Official Name and Position | Dean Alan Ruble (PRESIDENT) |
| Authorized Official Contact | 6162555338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Nutrigenetics 6701 Boca Vista Dr Ne Unit 102 Rockford MI 49341-9655 Ph: (616) 255-5338 | Michigan Nutrigenetics 6701 Boca Vista Dr Ne Unit 102 Rockford MI 49341-9655 Ph: (616) 255-5338 |
| NPI Number | 1740997212 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 7416329081 |
|---|---|
| Medicare Enrollment ID | O20230207003338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740997212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dean A Ruble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922291137 PECOS PAC ID: 3779569017 Enrollment ID: I20040628000004 |
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Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 E Division St, Rockford, MI 49341 Phone: 616-863-3150 | |
Spectrum Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 Meadowcreek Dr, Rockford, MI 49341 Phone: 616-825-7625 | |
Elder Care Of West Michigan Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6785 Myers Lake Ave Ne, Rockford, MI 49341 Phone: 616-366-4234 Fax: 616-469-1118 | |
Michigan Medical Patient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 E Division St, Rockford, MI 49341 Phone: 616-974-4884 | |
Robert Dejonge Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Northland Dr Ne, Rockford, MI 49341 Phone: 616-866-4474 Fax: 616-866-4476 |