Organization · Type 2 NPI

Pennock Hospital Board of Trustees

Family Medicine Physician · Ionia, MI

NPI number 1104291202 Active

Practice location

2776 S State Rd
Ionia, MI 48846-8472

Call (616) 486-6790 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

23 other providers at this address

Other family medicine physician providers in Ionia

See all in Ionia →

About NPI 1104291202

Pennock Hospital Board of Trustees's National Provider Identifier is 1104291202, issued on Dec 1, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ionia, MI. The record was last updated on Jan 25, 2016.