| |
550 E Washington St Fl 2 Ionia MI 48846-2202 | |
(616) 523-1600 | |
(616) 523-1601 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 550 E Washington St Fl 2, Ionia, Michigan |
Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR. PROVIDER ENROLLMENT) |
Authorized Official Contact | 5172536308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 253-6321 | 550 E Washington St Fl 2 Ionia MI 48846-2202 Ph: (616) 523-1600 |
NPI Number | 1033271143 |
---|---|
Provider Enumeration Date | 12/14/2006 |
Last Update Date | 03/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033271143 | NPI | - | NPPES |
1033271143 | Medicaid | MI | |
700C460070 | Other | MI | BCBS MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pennock Hospital Board Of Trustees Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-486-6790 | |
Ionia Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Lovell St, Ionia, MI 48846 Phone: 616-527-5732 Fax: 616-527-5720 | |
Adoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 E Lincoln Ave, Ionia, MI 48846 Phone: 616-527-2370 |