| West Michigan Endocrine, Plc | |
|
5060 Cascade Rd Se Ste C1 Grand Rapids MI 49546-3808 | |
| (616) 255-9521 | |
| Not Available |
| Full Name | West Michigan Endocrine, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5060 Cascade Rd Se Ste C1, Grand Rapids, Michigan |
| Authorized Official Name and Position | Emilie Mennel Collins (PRESIDENT) |
| Authorized Official Contact | 6162559521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Michigan Endocrine, Plc 5060 Cascade Rd Se Ste C1 Grand Rapids MI 49546-3808 Ph: (616) 255-9521 | West Michigan Endocrine, Plc 5060 Cascade Rd Se Ste C1 Grand Rapids MI 49546-3808 Ph: (616) 255-9521 |
| NPI Number | 1568131555 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 4385033711 |
|---|---|
| Medicare Enrollment ID | O20211105000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568131555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Emilie M Collins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104942085 PECOS PAC ID: 7315047370 Enrollment ID: I20070705000518 |
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