Unknown Individual – Family Medicine Physician, NPI 1861479552
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
US Post Office - North Muskegon, 404, Center Street, North Muskegon, Muskegon County, Michigan, 49445, United States
MUSKEGON, MI 494431848
Phone: (231) 727-4444
Fax: (231) 728-4789
Type: Mailing
3443, Farr Road, Fruitport Charter Township, Muskegon County, Michigan, 49415, United States
FRUITPORT, MI 494158779
Phone: (231) 672-2900
Fax: (231) 672-2901
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49443)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Addiction Medicine, Family Practice | IL | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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