NPI Profile for SAINT MARYS HEALTH SERVICES in GRAND RAPIDS, MI.
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Geriatric Medicine |
207RG0300X | 11 | Physician/Internal Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Hospice and Palliative Medicine |
207QH0002X | 08 | Physician/Family Practice | |
Hospice and Palliative Medicine |
207RH0002X | 11 | Physician/Internal Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1063917425 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/28/2018 | |
| Last updated | 05/05/2026 - About a month ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SAINT MARY'S HEALTH SERVICES
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