Gregory L Hazle in Grand Rapids - Family Medicine
Gregory L Hazle - NPI 1417995408
Gregory L Hazle is a Family Medicine in Grand Rapids, Michigan. Gregory L Hazle practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory L Hazle is 1417995408. The last update date is 2017-12-08.
Gregory L Hazle's current location address is 1787 Grand Ridge Ct. Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6167748131 and fax number 6167748204. The mailing address for Gregory L Hazle is 1787 Grand Ridge Ct. Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory L Hazle |
|---|---|
| Address | 1787 Grand Ridge Ct. Ne, Grand Rapids, Michigan |
| Phone Number | 6167748131 |
| Fax Number | 6167748204 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417995408 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2017-12-08 |
Provider Mailing Address Detail
| Address | 1787 Grand Ridge Ct. Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49525 |
| Phone Number | 6167748131 |
| Fax Number | 6167748204 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301057607 |
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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 |
|---|---|---|---|
| 900000696 | MI | PRIORITY HEALTH | |
| 080D17690 | MI | BLUE SHIELD | |
| 4558584 | MI | AETNA | |
| 2957048 | MI | -- |
Post Comment/ Review Below
What is the Gregory L Hazle's unique identification number?
The Gregory L Hazle has been assigned the NPI (National Provider Identifier) Number 1417995408 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Gregory L Hazle located?
The Gregory L Hazle is located at 1787 Grand Ridge Ct. Ne, Grand Rapids, MI 49525.
What is Gregory L Hazle's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory L Hazle's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did Gregory L Hazle receive its 1417995408 assignment?
The Gregory L Hazle was assigned its 1417995408 on 2006-06-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Gregory L Hazle most recently updated?
The details pertaining to the Gregory L Hazle, including its address, specialty, and other relevant information, were last refreshed on 2017-12-08.
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