John Walstrum is a Family Medicine in Allegan, Michigan. John Walstrum practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Walstrum is 1679564975. The last update date is 2015-03-12.
John Walstrum's current location address is 551 Linn St, Allegan, Michigan. You can contact this provider via phone number 2696865800 and fax number 2696865899. The mailing address for John Walstrum is 551 Linn St, Allegan, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Walstrum |
|---|---|
| Address | 551 Linn St, Allegan, Michigan |
| Phone Number | 2696865800 |
| Fax Number | 2696865899 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679564975 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2015-03-12 |
Provider Mailing Address Detail
| Address | 551 Linn St |
|---|---|
| City | Allegan |
| State | Michigan (MI) |
| Post Code | 490101595 |
| Phone Number | 2696865800 |
| Fax Number | 2696865899 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | JW042924 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25685 | MI | COMMUNITY CHOICE OF MI | |
| 80067212 | RAILROAD MEDICARE | ||
| 1837425 | UNITED HEALTHCARE | ||
| 800300041 | MI | BCBS MI PROV # | |
| 20476 | MI | HEALTH PLAN OF MI | |
| P53510 | MI | BLUE CARE NETWORK | |
| 01-30460 | PHP PROV # | ||
| JW042924 | MI | STATE LINCENSE # | |
| P00361391 | MI | RAILROAD MEDICARE | |
| 1353542 | MI | -- |
Post Comment/ Review Below
What is the John Walstrum's 1679564975?
The John Walstrum's NPI (National Provider Identifier) Number is 1679564975. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Walstrum?
The John Walstrum is situated at 551 Linn St, in the city of Allegan, state of MI, with the zip code 490101595.
What is John Walstrum's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Walstrum's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When was the John Walstrum's 1679564975 issued?
The John Walstrum's 1679564975 was issued on 2005-11-04.
When was the information pertaining to John Walstrum most recently updated or revised?
The details related to John Walstrum, including its address, specialty, and other relevant information, were last updated or revised on 2015-03-12.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY