Unknown Individual – Gastroenterology Physician, NPI 1497710396
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3304, Cooley Court, Portage, Kalamazoo County, Michigan, 49024, United States
PORTAGE, MI 49024
Phone: (269) 349-2266
Fax: (269) 349-0792
Mailing address matches the actual address.
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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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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49024)
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