Truemed Pllc | |
2849 Michigan St Ne Ste 102 Grand Rapids MI 49506-1216 | |
(616) 551-1200 | |
Not Available |
Full Name | Truemed Pllc |
---|---|
Speciality | Family Medicine |
Location | 2849 Michigan St Ne Ste 102, Grand Rapids, Michigan |
Authorized Official Name and Position | Jeremiah J Dewitt (OWNER) |
Authorized Official Contact | 6165511200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Truemed Pllc 2849 Michigan St Ne Ste 102 Grand Rapids MI 49506-1216 Ph: (616) 511-1200 | Truemed Pllc 2849 Michigan St Ne Ste 102 Grand Rapids MI 49506-1216 Ph: (616) 551-1200 |
NPI Number | 1841938214 |
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Provider Enumeration Date | 05/25/2022 |
Last Update Date | 01/19/2023 |
Medicare PECOS PAC ID | 4981084555 |
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Medicare Enrollment ID | O20220629002841 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841938214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jeremiah J Dewitt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255644225 PECOS PAC ID: 1153587084 Enrollment ID: I20120723000276 |
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