John Martin Koetsier
M.D. | Pediatrics | Male
John Martin Koetsier, M.D. is a Grand Rapids, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Martin Koetsier is
710 Kenmoor Ave Se, Suite 110, Grand Rapids, Michigan - 49546-2379. He can be contacted on phone at
616-949-6112 and fax number 616-949-8530.
John Martin Koetsier is a sole proprietor of his business.
NPI number (Unique professional ID) for John Martin Koetsier is
1245338367 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 08 Jul, 2007.
John Martin Koetsier license number is
4301033878 for Pediatrics (208000000X) in Michigan.
John Martin Koetsier is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Martin Koetsier basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | John Martin Koetsier |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
John Martin Koetsier address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 710 Kenmoor Ave Se, Suite 110
Grand Rapids, MI, 49546-2379
United States |
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| Phone Number : | 616-949-6112 |
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| Fax Number : | 616-949-8530 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1245338367 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Martin Koetsier are as mentioned. Primary taxonomy code for John Martin Koetsier, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301033878 | MI |
Legacy Identifiers:
Other legacy medical identifiers of John Martin Koetsier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2890323 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 710 Kenmoor Ave Se, Suite 110
Grand Rapids, MI, 49546-2379
United States |
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| Phone Number : | 616-949-6112 |
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| Fax Number : | 616-949-8530 |
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Business Location:
Patients can refer following map for directions to
John Martin Koetsier practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.