West Michigan Family Practice, Pc in Grand Rapids - Family Medicine
West Michigan Family Practice, Pc - NPI 1639382211
West Michigan Family Practice, Pc is a Family Medicine in Grand Rapids, Michigan. West Michigan Family Practice, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for West Michigan Family Practice, Pc is 1639382211. The last update date is 2011-10-22.
West Michigan Family Practice, Pc's current location address is 877 Forest Hills, Grand Rapids, Michigan. You can contact this provider via phone number 6169540402 and fax number 6169540404. The mailing address for West Michigan Family Practice, Pc is 877 Forest Hills, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Michigan Family Practice, Pc |
|---|---|
| Address | 877 Forest Hills, Grand Rapids, Michigan |
| Phone Number | 6169540402 |
| Fax Number | 6169540404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | D.O. |
|---|---|
| Authorized Official Name | Lawrence-Friedl M Daryl |
| Credentials | D.O. |
| Telephone Number | 6169540402 |
NPI Number Detail
| NPI Number | 1639382211 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2011-10-22 |
Provider Mailing Address Detail
| Address | 877 Forest Hills |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495462380 |
| Phone Number | 6169540402 |
| Fax Number | 6169540404 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101010305 |
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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 |
|---|---|---|---|
| 1639382211 | MI | -- | |
| DH2054 | MI | RR MEDICARE | |
| 0D12216 | MI | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to West Michigan Family Practice, Pc by the Centers for Medicare & Medicaid Services?
The West Michigan Family Practice, Pc has been issued the NPI (National Provider Identifier) 1639382211. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where West Michigan Family Practice, Pc is geographically located?
The West Michigan Family Practice, Pc is physically situated at the following location: 877 Forest Hills, Grand Rapids, MI, 495462380.
What is West Michigan Family Practice, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The West Michigan Family Practice, Pc's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the West Michigan Family Practice, Pc receive the assignment of its 1639382211 from the Centers for Medicare & Medicaid Services?
The West Michigan Family Practice, Pc was issued its 1639382211 by the Centers for Medicare & Medicaid Services on 2007-05-08.
When was the information pertaining to West Michigan Family Practice, Pc most recently updated or revised?
The details related to West Michigan Family Practice, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-22.