Thaddeus P Srutwa (NPI# 1366489635, PAC ID# 3779560180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1366489635 |
| PAC ID by PECOS | 3779560180 |
| Professional Enrollment ID | I20040702000916 |
| Full Name | Thaddeus P Srutwa |
| Organization Legal Name | BALANCE IN LIFE, P.C. |
| Address |
16986 Robbins Rd Suite 180 Grand Haven MI 49417-2795 |
| Phone Number | 6162130253 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | EMERGENCY MEDICINE, OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 4688723562 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| 230174 | NORTH OTTAWA COMMUNITY HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 16986 Robbins Rd, Suite 180, Grand Haven, MI 49417-2795 | 6162130253 | BALANCE IN LIFE, P.C. |
| Organization Legal Name | BALANCE IN LIFE, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam E Strantz | Physician Assistant | Balance In Life, P.C. | 16986 Robbins Rd, Suite 180, Grand Haven, MI 49417-2795 |
| Street Address |
16986 ROBBINS RD SUITE 180 |
| City | GRAND HAVEN |
| State | MI |
| Zip | 49417-2795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda A Wachter | Clinical Social Worker | 16986 Robbins Rd, Suite 180, Grand Haven, MI 49417-2795 | |
| Adam E Strantz | Physician Assistant | Balance In Life, P.C. | 16986 Robbins Rd, Suite 180, Grand Haven, MI 49417-2795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek Thomas Meyers | Optometry | Rx Optical Laboratories, Inc. | 1125 S Beacon, Grand Haven, MI 49417 |
| Barbara M Harris | Clinical Social Worker | 41 Washington St, Suite 320, Grand Haven, MI 49417 | |
| Lynn A Huizinga | Optometry | Rx Optical Laboratories, Inc. | 1125 S Beacon, Grand Haven, MI 49417 |
| Walker M Parmelee | Psychologist, Clinical | Parmelee and Associates Psychological Consultants, 321 Fulton, Grand Haven, MI 49417-1231 | |
| Mary F Peterson | Chiropractic | 635 Fulton Ave, Grand Haven, MI 49417-1237 | |
| Michael T Vollink | Optometry | Vollink Eyecare Pllc | 4 Washington Ave, Grand Haven, MI 49417-1353 |
| Terrance L Draeger | Optometry | Vollink Eyecare Pllc | 4 Washington Ave, Grand Haven, MI 49417-1353 |
| Terry Lanigan | Clinical Social Worker | 233 Washington St, Suite 212, Grand Haven, MI 49417-1374 | |
| Joseph Merrell Iii | Clinical Social Worker | 41 Washington Ave, Suite 368, Grand Haven, MI 49417-1378 | |
| Cynthia J Crawford | Clinical Social Worker | 41 Washington Ave, Suite 368, Grand Haven, MI 49417-1378 | |
| Find all physicians in zip 49417 | |||
| City | GRAND HAVEN |
| Zip Code | 49417 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | GRAND HAVEN + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Thaddeus P Srutwa.
| 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.