| Patient One Care, Pllc | |
|
1740 28th St Se Grand Rapids MI 49508-1414 | |
| (616) 323-3999 | |
| (616) 552-1618 |
| Full Name | Patient One Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1740 28th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jobeda A Sheuly (OWNER) |
| Authorized Official Contact | 6163233999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient One Care, Pllc 1740 28th St Se Grand Rapids MI 49508-1414 Ph: (616) 323-3999 | Patient One Care, Pllc 1740 28th St Se Grand Rapids MI 49508-1414 Ph: (616) 323-3999 |
| NPI Number | 1013460591 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013460591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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