William R Grace (NPI# 1386646487, PAC ID# 5294701587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1386646487 |
| PAC ID by PECOS | 5294701587 |
| Professional Enrollment ID | I20100609000648 |
| Full Name | William R Grace |
| Organization Legal Name | FAMILY PRACTICE OF CADILLAC PC |
| Address |
827 E Division St Cadillac MI 49601-2015 |
| Phone Number | 2317759741 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8123094414 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230081 | MUNSON HEALTHCARE CADILLAC HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 827 E Division St, Cadillac, MI 49601-2015 | 2317759741 | FAMILY PRACTICE OF CADILLAC PC |
| Organization Legal Name | FAMILY PRACTICE OF CADILLAC PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen Marie Kiomento | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Sergei V Shumaster | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Brandon Charles Peltier | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Alicia Tenney Elmore | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Kevin E Anderson | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| David M Mutch | Family Practice | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Street Address |
827 E DIVISION ST |
| City | CADILLAC |
| State | MI |
| Zip | 49601-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen Marie Kiomento | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Sergei V Shumaster | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Brandon Charles Peltier | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Alicia Tenney Elmore | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Kevin E Anderson | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| David M Mutch | Family Practice | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satya Das | Physical Therapy | 1101 N Mitchell St, Cadillac, MI 49601-1200 | |
| Brian D Sims | Chiropractic | 1190 Plett Rd, Suite B, Cadillac, MI 49601-1296 | |
| Theresa Anne Evans | Clinical Social Worker | 201 N Mitchell St, Suite 204, Cadillac, MI 49601-1859 | |
| Karen M Chitwood | Clinical Social Worker | 121 N Mitchell St, Cadillac, MI 49601-1879 | |
| Jacob L Brown | Chiropractic | 119 N Shelby St, Active Chiro Cadil, Cadillac, MI 49601-1928 | |
| Ronald E Jacobs Jr. | Chiropractic | 222 E Harris, Cadillac, MI 49601-2125 | |
| Scott S Reagan | Chiropractic | 302 E Cass St, Cadillac, MI 49601-2170 | |
| Richard Melstrom | Optometry | 118 Stimson St, Cadillac, MI 49601-2238 | |
| Grant Dennis Crago | Anesthesiology | Munson Healthcare Cadillac | 400 Hobart St, Cadillac, MI 49601-2331 |
| Susan A Willis | Physician Assistant | Sound Inpatient Physicians-michigan Pllc | 400 Hobart St, Cadillac, MI 49601-2331 |
| Find all physicians in zip 49601 | |||
| City | CADILLAC |
| Zip Code | 49601 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CADILLAC + FAMILY PRACTICE |
Please comment or provide details below to improve the information on William R Grace.
| 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.