Unknown Individual – Internal Medicine Physician, NPI 1457312092
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Grand Rapids Post Office, Wapakoneta Road, Grand Rapids, Wood County, Ohio, 43522, United States
GRAND RAPIDS, MI 495013140
Phone: (616) 459-6867
Fax: (616) 459-6963
Type: Mailing
Mercy Health Hackley Campus, 1700, Clinton Street, Muskegon, Muskegon County, Michigan, 49444, United States
MUSKEGON, MI 494425502
Phone: (231) 728-5858
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Family Practice | MI |
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