Creston Medical Service, Pc | |
1330 Plainfield Ave Ne Grand Rapids MI 49505-5091 | |
(616) 776-1275 | |
(616) 776-3713 |
Full Name | Creston Medical Service, Pc |
---|---|
Speciality | Family Medicine |
Location | 1330 Plainfield Ave Ne, Grand Rapids, Michigan |
Authorized Official Name and Position | Peter Beardslee App (PRESIDENT) |
Authorized Official Contact | 6167761275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Creston Medical Service, Pc Po Box 264 Grand Rapids MI 49501-0264 Ph: (616) 776-1275 | Creston Medical Service, Pc 1330 Plainfield Ave Ne Grand Rapids MI 49505-5091 Ph: (616) 776-1275 |
NPI Number | 1043653082 |
---|---|
Provider Enumeration Date | 04/09/2013 |
Last Update Date | 04/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043653082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301029675 (Michigan) | Primary |
News Archive
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