Stephen Prefontaine, Do, Plc in Grand Rapids - Family Medicine
Stephen Prefontaine, Do, Plc - NPI 1124274006
Stephen Prefontaine, Do, Plc is a Family Medicine in Grand Rapids, Michigan. Stephen Prefontaine, Do, Plc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stephen Prefontaine, Do, Plc is 1124274006. The last update date is 2008-08-12.
Stephen Prefontaine, Do, Plc's current location address is 4081 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6163367662 and fax number 6163367682. The mailing address for Stephen Prefontaine, Do, Plc is 4081 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Stephen Prefontaine, Do, Plc |
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Address | 4081 Cascade Rd Se, Grand Rapids, Michigan |
Phone Number | 6163367662 |
Fax Number | 6163367682 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Prefontaine Stephen |
Credentials | DO |
Telephone Number | 6163367662 |
NPI Number Detail
NPI Number | 1124274006 |
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Provider Enumeration Date | 2008-08-12 |
Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
Address | 4081 Cascade Rd Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495462170 |
Phone Number | 6163367662 |
Fax Number | 6163367682 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 5101011668 |
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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What is the Stephen Prefontaine, Do, Plc's unique identification number?
The Stephen Prefontaine, Do, Plc has been assigned the NPI (National Provider Identifier) Number 1124274006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Stephen Prefontaine, Do, Plc's facilities are situated?
The facilities of Stephen Prefontaine, Do, Plc are physically located at the following address: 4081 Cascade Rd Se, Grand Rapids, MI, 495462170.
What is the area of specialization for Stephen Prefontaine, Do, Plc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen Prefontaine, Do, Plc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Stephen Prefontaine, Do, Plc receive its 1124274006 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Prefontaine, Do, Plc was assigned its 1124274006 by the Centers for Medicare & Medicaid Services on 2008-08-12.
When was the information regarding Stephen Prefontaine, Do, Plc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stephen Prefontaine, Do, Plc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-12.