| Pennock Hospital | |
|
12851 W M 179 Hwy Wayland MI 49348-9318 | |
| (877) 377-7322 | |
| Not Available |
| Full Name | Pennock Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 12851 W M 179 Hwy, Wayland, Michigan |
| Authorized Official Name and Position | Deidre Weller (CONTROLLER) |
| Authorized Official Contact | 2699451212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennock Hospital 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Pennock Hospital 12851 W M 179 Hwy Wayland MI 49348-9318 Ph: (877) 377-7322 |
| NPI Number | 1205281045 |
|---|---|
| Provider Enumeration Date | 04/29/2016 |
| Last Update Date | 04/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205281045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
12th Street Internal Medicine And Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3587 12th St, Wayland, MI 49348 Phone: 616-648-4933 | |
Corewell Health Pennock Hospital Family Medicine - Gun Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12851 W M 179 Hwy, Wayland, MI 49348 Phone: 877-377-7322 | |
Family Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Parker Dr, Wayland, MI 49348 Phone: 616-406-7799 |