WILLIAM K GRETZINGER


Address: 416 Connable Ave, Er Department, Petoskey, MI 49770
Phone: 2314874000

WILLIAM K GRETZINGER (NPI# 1518994979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518994979
Entity Type Individual
Full Name WILLIAM K GRETZINGER
Credential DO
Practice Address 416 Connable Ave
Er Department
Petoskey
MI 49770
Mailing Address 930 Spring Street
Petoskey
MI 49770
Practice Telephone 2314874000
Mailing Telephone 8005408739
Mailing Fax Number 6169759827
Enumeration Date 2006-06-28
Last Update Date 2019-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology 5101011330 MI Allopathic & Osteopathic Physicians
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
WG011330 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 114081517 05

Office Location

Street Address 416 CONNABLE AVE
ER DEPARTMENT
City PETOSKEY
State MI
Zip Code 49770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073512687 Michael A Angileri Radiology 416 Connable Ave, Petoskey, MI 49770-2212 2005-07-15
1023619483 Bay Radiation Oncology, Pllc Radiology 416 Connable Ave, Petoskey, MI 49770-2212 2020-11-03
1972116895 Cameron P Burns Nurse Practitioner 416 Connable Ave, Petoskey, MI 49770-2212 2020-08-29
1447878566 Tiffany Hornbeck Registered Nurse 416 Connable Ave, Petoskey, MI 49770-2212 2020-07-07
1083231963 Cory Mills Registered Nurse 416 Connable Ave, Petoskey, MI 49770-2212 2020-06-26
1508417031 Alexander Joseph Perry Registered Nurse 416 Connable Ave, Petoskey, MI 49770-2212 2019-09-25
1699332668 Murphy Gillespie Nurse Practitioner 416 Connable Ave, Petoskey, MI 49770-2212 2019-05-24
1407322985 Shanna Macclaren Nurse Practitioner 416 Connable Ave, Petoskey, MI 49770-2212 2018-10-22
1730664186 Emily Powell Occupational Therapist 416 Connable Ave, Petoskey, MI 49770-2212 2018-10-02
1831673458 Mary Ford Occupational Therapist 416 Connable Ave, Petoskey, MI 49770-2212 2018-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780231985 Olivia Michelle Seaman Pharmacist 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 2019-08-22
1649733148 Harbor Hall, Inc. Clinic/Center 302 Orchard Ridge Drive, Petoskey, MI 49770 2019-04-11
1053802942 Devin Hueston Dentist 231 State St Ste 3, Petoskey, MI 49770 2018-05-25
1720585037 Jacob Kenneth Tracy Counselor 410 E Lake Street, Suite 100, Petoskey, MI 49770 2018-04-12
1013424191 Timothy Robert La Gasse Nurse Practitioner 401 Connable Ave, Petoskey, MI 49770 2018-01-10
1609303676 Shauna Sue Stark Nurse Practitioner 560 W Mitchell St Ste 505, Petoskey, MI 49770 2017-05-22
1053851519 Maureen Todd Counselor 703 Emmet St, Petoskey, MI 49770 2017-03-03
1457719239 Hufford Vision & Eye Care, PC Optometrist 560 West Mitchell, Suite 214, Petoskey, MI 49770 2016-02-08
1053779439 Kaylyn Schiemann Specialist/Technologist 1980 Maxwell Rd, Petoskey, MI 49770 2016-02-01
1669839130 Stieber Pediatric Dentistry Pllc Clinic/Center 1605 Us 131 Highway, Petoskey, MI 49770 2016-01-28
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417984287 Craig Allan Reynolds Emergency Medicine 416 Connable Avenue, Er Department, Petoskey, MI 49770 2006-06-27
1194771873 Brian Gelb Emergency Medicine 416 Connable Ave, Er Department, Petoskey, MN 49770 2006-05-25
1952356248 Paul Eugene Romig Emergency Medicine 416 Connable Ave, Er Department, Petoskey, MI 49770 2006-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770059529 Zachary Kenneth Brown Emergency Medicine 906 S Crapo St, Mt Pleasant, MI 48858-3662 2018-10-19
1356778286 Donald Smith Pllc Emergency Medicine 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 2013-10-10
1346486222 Flushing Road Urgent Care PC Emergency Medicine 1301 Flushing Rd, Flint, MI 48504-4710 2008-12-26
1184897209 Donnell Stephen Newman Jr. Emergency Medicine 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 2008-04-09
1205849866 Daryl D Wisdom Emergency Medicine 10015 Cascade Rd Se, Lowell, MI 49331-9529 2006-08-14
1134131683 Rick L Holland Emergency Medicine 8333 Felch Ave, Zeeland, MI 49464 2006-08-13
1760493472 Katherine J Pitus Emergency Medicine 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 2006-08-10
1952319881 Robert Prodinger Emergency Medicine 9825 W Gull Lake Dr, Richland, MI 49083-9543 2006-08-04
1164436671 James Barry Nolin Emergency Medicine 1805 Wild Dr, Richland, MI 49083-9361 2006-07-28
1518987072 Trace Dotson Emergency Medicine 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 2006-07-20
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Competitor

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City PETOSKEY
Zip Code 49770

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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