Michael W Berneking in Grand Rapids - Family Medicine

Michael W Berneking - NPI 1659315349

Michael W Berneking is a Family Medicine in Grand Rapids, Michigan. Michael W Berneking practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael W Berneking is 1659315349. The last update date is 2009-05-11.

Michael W Berneking's current location address is 436 44th St Se Ste A, Grand Rapids, Michigan. You can contact this provider via phone number 6165319750 and fax number 6165319710. The mailing address for Michael W Berneking is 436 44th St Se Ste A, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael W Berneking
Address 436 44th St Se Ste A, Grand Rapids, Michigan
Phone Number 6165319750
Fax Number 6165319710
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1659315349
Provider Enumeration Date 2006-06-15
Last Updated Date 2009-05-11

Provider Mailing Address Detail

Address 436 44th St Se Ste A
City Grand Rapids
State Michigan (MI)
Post Code 495484371
Phone Number 6165319750
Fax Number 6165319710

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4301071005
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
200836290 IN --
807500681 MI BCBS
497920 IN ANTHEM

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FAQs about Michael W Berneking

What is the unique 10-digit identifier code assigned to Michael W Berneking by the Centers for Medicare & Medicaid Services?

The Michael W Berneking has been issued the NPI (National Provider Identifier) 1659315349 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Michael W Berneking's facilities are geographically located?

The facilities of Michael W Berneking are physically situated at the following location: 436 44Th St Se Ste A, Grand Rapids, MI, 495484371.

What is the Michael W Berneking's specialty and taxonomy code?

The Michael W Berneking's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date was the 1659315349 assigned to Michael W Berneking?

The Michael W Berneking was issued its 1659315349 on 2006-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Michael W Berneking, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael W Berneking, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-11.

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