Gregory Vanwienen in Jenison - Family Medicine

Gregory Vanwienen - NPI 1194771972

Gregory Vanwienen is a Family Medicine in Jenison, Michigan. Gregory Vanwienen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory Vanwienen is 1194771972. The last update date is 2021-12-28.

Gregory Vanwienen's current location address is 7780 20th Ave, Jenison, Michigan. You can contact this provider via phone number 6166858700 and fax number 6164575567. The mailing address for Gregory Vanwienen is 7780 20th Ave, Jenison, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Vanwienen
Address 7780 20th Ave, Jenison, Michigan
Phone Number 6166858700
Fax Number 6164575567
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1194771972
Provider Enumeration Date 2006-05-25
Last Updated Date 2021-12-28

Provider Mailing Address Detail

Address 7780 20th Ave
City Jenison
State Michigan (MI)
Post Code 494288524
Phone Number 6166858700
Fax Number 6164575567

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4301063899
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3416300 MI --
4155666 MI --
4876870 MI --
3358029 MI --

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FAQs about Gregory Vanwienen

What is the unique identification code assigned to Gregory Vanwienen by the Centers for Medicare & Medicaid Services?

The Gregory Vanwienen has been issued the NPI (National Provider Identifier) 1194771972. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Gregory Vanwienen?

The Gregory Vanwienen is physically situated at 7780 20Th Ave, in the city of Jenison, state of MI, with the postal code 494288524.

What is Gregory Vanwienen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregory Vanwienen is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Gregory Vanwienen receive the assignment of its 1194771972 from the Centers for Medicare & Medicaid Services?

The Gregory Vanwienen was issued its 1194771972 by the Centers for Medicare & Medicaid Services on 2006-05-25.

As of what date were the details pertaining to Gregory Vanwienen last refreshed?

The information related to the Gregory Vanwienen, including its address, specialty, and other relevant details, was last updated on 2021-12-28.

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