| West Michigan Family Health Pc | |
|
4070 Lake Dr Se Ste 101 Grand Rapids MI 49546-8294 | |
| (616) 455-4114 | |
| (616) 455-4454 |
| Full Name | West Michigan Family Health Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4070 Lake Dr Se Ste 101, Grand Rapids, Michigan |
| Authorized Official Name and Position | Cindy Opolka (PHYSICIAN) |
| Authorized Official Contact | 6164554114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Michigan Family Health Pc 4070 Lake Dr Se Ste 101 Grand Rapids MI 49546-8294 Ph: (616) 455-4114 | West Michigan Family Health Pc 4070 Lake Dr Se Ste 101 Grand Rapids MI 49546-8294 Ph: (616) 455-4114 |
| NPI Number | 1831513449 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 5496986531 |
|---|---|
| Medicare Enrollment ID | O20140402002029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831513449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cindy A Opolka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629060165 PECOS PAC ID: 5597942367 Enrollment ID: I20110602000678 |
| Provider Name | Pamela S Zelasko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669464301 PECOS PAC ID: 3476454869 Enrollment ID: I20110602000720 |
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