Randall R Prince (NPI# 1891898763, PAC ID# 0345383907) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1891898763 |
| PAC ID by PECOS | 0345383907 |
| Professional Enrollment ID | I20100204000120 |
| Full Name | Randall R Prince |
| Organization Legal Name | GREAT LAKES PHYSICAL THERAPY NORTH MUSKEGON, LLC |
| Address |
2073 Holton Rd Muskegon MI 49445-1535 |
| Phone Number | 2317440077 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5193961431 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2073 Holton Rd, Muskegon, MI 49445-1535 | 2317440077 | GREAT LAKES PHYSICAL THERAPY NORTH MUSKEGON, LLC |
| Organization Legal Name | GREAT LAKES PHYSICAL THERAPY NORTH MUSKEGON, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey A Eaton | Physical Therapy | Great Lakes Physical Therapy North Muskegon, LLC | 2073 Holton Rd, Muskegon, MI 49445-1535 |
| Christopher Michael Gibson | Physical Therapy | Great Lakes Physical Therapy North Muskegon, LLC | 2073 Holton Rd, Muskegon, MI 49445-1535 |
| Lisa M Radosa | Physical Therapy | Great Lakes Physical Therapy North Muskegon, LLC | 2073 Holton Rd, Muskegon, MI 49445-1535 |
| Robin J Wilcox | Physical Therapy | Great Lakes Physical Therapy North Muskegon, LLC | 2073 Holton Rd, Muskegon, MI 49445-1535 |
| Street Address |
2073 HOLTON RD |
| City | MUSKEGON |
| State | MI |
| Zip | 49445-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey A Eaton | Physical Therapy | Great Lakes Physical Therapy North Muskegon, LLC | 2073 Holton Rd, Muskegon, MI 49445-1535 |
| Christopher Michael Gibson | Physical Therapy | Great Lakes Physical Therapy North Muskegon, LLC | 2073 Holton Rd, Muskegon, MI 49445-1535 |
| Lisa M Radosa | Physical Therapy | Great Lakes Physical Therapy North Muskegon, LLC | 2073 Holton Rd, Muskegon, MI 49445-1535 |
| Robin J Wilcox | Physical Therapy | Great Lakes Physical Therapy North Muskegon, LLC | 2073 Holton Rd, Muskegon, MI 49445-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Tomaszczyk | General Surgery | 1745 Holton Rd, Suite C, Muskegon, MI 49445-1453 | |
| Eliza R Sudbury | Nurse Practitioner | Mercy Physician Network | 1915 Holton Rd, N Muskegon, MI 49445-1533 |
| Elizabeth Lynne Cross | Nurse Practitioner | Mercy Physician Network | 1915 Holton Rd, N Muskegon, MI 49445-1533 |
| David G Booth | Family Practice | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| James P Twesten Otoole | Family Practice | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| George S Renton | Internal Medicine | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Deborah Ann Posthumus | Physician Assistant | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Nancy F Brenneman | Internal Medicine | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Nicholas A Vandenbosch | Family Practice | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Wayne L Brenneman | Internal Medicine | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Find all physicians in zip 49445 | |||
| City | MUSKEGON |
| Zip Code | 49445 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MUSKEGON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Randall R Prince.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.