Michael J Bultje (NPI# 1144224882, PAC ID# 6709937014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1144224882 |
PAC ID by PECOS | 6709937014 |
Professional Enrollment ID | I20090626000379 |
Full Name | Michael J Bultje |
Organization Legal Name | GRAND VALLEY MEDICAL SPECIALISTS PLC |
Address |
2093 Health Dr Sw Suite 200 Wyoming MI 49519-9691 |
Phone Number | 6169880737 |
Gender | M |
Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1999 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1254311947 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
230236 | METRO HEALTH HOSPITAL |
Address | Phone | Organization |
---|---|---|
2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 | 6169880737 | GRAND VALLEY MEDICAL SPECIALISTS PLC |
Organization Legal Name | GRAND VALLEY MEDICAL SPECIALISTS PLC |
Physicians | 21 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffery A Woo | Internal Medicine | Grand Valley Medical Specialists Plc | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 |
Daniel Raymond Drumm | Internal Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Joyce Marie Jensen | Nurse Practitioner | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
John W Hamersma | Family Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
David Francis Lieuwen | Family Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Thomas V Bilisko Ii | Internal Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
David Michael Mcgrath | Internal Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Elizabeth Brouwer | Family Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Melonie Sue Ice | Internal Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Andrew J Vollmar | Family Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Street Address |
2093 HEALTH DR SW SUITE 200 |
City | WYOMING |
State | MI |
Zip | 49519-9691 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Raymond Drumm | Internal Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Joyce Marie Jensen | Nurse Practitioner | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Jennifer A Cory | Internal Medicine | Metropolitan Hospital | 2093 Health Dr Sw, 302 Metro Health Gastroenterology, Wyoming, MI 49519-9691 |
John W Hamersma | Family Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
David Francis Lieuwen | Family Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Brenda J Wharton | Physician Assistant | Urologic Consultants PC | 2093 Health Dr Sw, Suite 202, Wyoming, MI 49519-9691 |
Robert F Gleffe | Internal Medicine | Metropolitan Hospital | 2093 Health Dr Sw, 302 Metro Health Gastroenterology, Wyoming, MI 49519-9691 |
Adam T Wolfe | Internal Medicine | Metropolitan Hospital | 2093 Health Dr Sw, 302 Metro Health Gastroenterology, Wyoming, MI 49519-9691 |
Thomas V Bilisko Ii | Internal Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
David Michael Mcgrath | Internal Medicine | Grand Valley Medical Specialists Plc | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary Austin Vanderweide | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
Kaitlynn Kristine Rosier | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
Jared L Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
Arnold Mark Koldenhoven Jr. | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
Charles Scott Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
Linda S Bruinsma | Chiropractic | 3555 Byron Ctr Ave, Wyoming, MI 49519-3259 | |
Bradley D Conrad | Chiropractic | 3651 Byron Ctr Ave Sw, Wyoming, MI 49519-3665 | |
Tamara Brown | Clinical Social Worker | Portal Point Counseling LLC | 2663 44th Sw, Suite 106, Wyoming, MI 49519-4189 |
Ashley K Yancho | Clinical Social Worker | 2663 44th St Sw, Suite 106, Wyoming, MI 49519-4189 | |
Rachel Vanbuskirk | Clinical Social Worker | Portal Point Counseling LLC | 2663 44th Sw, Suite 106, Wyoming, MI 49519-4189 |
Find all physicians in zip 49519 |
City | WYOMING |
Zip Code | 49519 |
Specialty | FAMILY MEDICINE |
City + Specialty | WYOMING + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael J Bultje.
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.