KARL JOHN LAUTERBACH


Address: 1309 Sheldon Rd, Grand Haven, MI 49417-2404
Phone: 6168475293

KARL JOHN LAUTERBACH (NPI# 1902184666) 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) 1902184666
Entity Type Individual
Full Name KARL JOHN LAUTERBACH
Credential M.D.
Practice Address 1309 Sheldon Rd
Grand Haven
MI 49417-2404
Mailing Address 1309 Sheldon Rd
Grand Haven
MI 49417-2488
Practice Telephone 6168475293
Enumeration Date 2011-07-29
Last Update Date 2019-03-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301099093 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4201 Saint Antoine St Ste 5a, University Health Center, Detroit, MI 482012153 3137454525 3139930085

Office Location

Street Address 1309 SHELDON RD
City GRAND HAVEN
State MI
Zip Code 49417-2404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215921036 Grand Haven Pathology, PC Pathology 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2005-09-08
1184283624 Josko Vukusic Social Worker 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2019-06-09
1194381814 Benjamin Esh-nauta Social Worker 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2019-05-17
1265948400 Rebecca Benjamin Social Worker 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2017-12-26
1720484538 Laura Buitenhuis Social Worker 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2014-11-06
1679982029 Angela Mitchell Social Worker 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2014-08-11
1629484282 Julie Shafer Social Worker 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2014-07-03
1730593831 Carrie Brondyke Social Worker 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2014-06-17
1699103481 Kelli Lynn Meyer Dietitian, Registered 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2013-10-15
1285960211 Gerald M Lunsford Orthotist 1309 Sheldon Rd, Orthotics Department, Grand Haven, MI 49417-2404 2009-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295393478 Compassionate Christian Therapy, LLC Social Worker 16989 Robbins Rd, Grand Haven, MI 49417 2019-06-03
1275098501 Christi Rene Fortenbacher Massage Therapist 318 S. Beacon Blvd, Grand Haven, MI 49417 2019-01-31
1518440650 Jessica Hankins Physical Therapy Assistant 15773 Charles Ct, Grand Haven, MI 49417 2018-09-14
1558857466 Christina Steege Physical Therapist 514 Friant St, Grand Haven, MI 49417 2018-07-03
1851822548 Forefront Dermatology, S.c. Dermatology 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 2017-03-23
1982057907 Jeremyn Duane Wiersma Counselor 1703 S. Despelder St., Grand Haven, MI 49417 2016-07-14
1760855225 Lisa Costello Dental Hygienist 326 N. Ferry St, Grand Haven, MI 49417 2015-11-05
1508116088 Great Lakes Chiropractic Health Chiropractor 15 S. Seventh St., Grand Haven, MI 49417 2012-09-12
1508120122 Jonathan Stewart Rouwhorst Family Medicine 15161 Willowwood Ct, Grand Haven, MI 49417 2012-06-28
1104108836 Employee Assistance Center Fulton Psychologist 321 Fulton, Grand Haven, MI 49417 2011-09-20
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023080447 Jennifer Doublestein Sandy Internal Medicine 1310 Wisconsin St, Suite 101, Grand Haven, MI 49417-2472 2006-02-02
1952303117 Thomas F. Alguire Internal Medicine 15100 Whittaker Way, Grand Haven, MI 49417-8696 2005-06-01
1447678115 Carlyn Ann Hoeppner Internal Medicine 15100 Whittaker Way, Grand Haven, MI 49417-8696 2014-03-31
1205145760 Spectrum Health Primary Care Partners Internal Medicine 1445 Sheldon Rd, Grand Haven, MI 49417-2480 2010-10-01
1235231309 Julie M Kowacz Internal Medicine 15100 Whittaker Way, Grand Haven, MI 49417-8696 2006-09-01
1326073792 Joseph Daniel Ortiz Internal Medicine 15100 Whittaker Way, Grand Haven, MI 49417-8696 2006-07-12
1730119702 Haney N Assaad Internal Medicine 1310 Wisconsin Ave, 100, Grand Haven, MI 49417-2472 2006-07-04
1902845654 John Mc Aree Internal Medicine 15100 Whittaker Way, Grand Haven, MI 49417-8696 2006-06-06
1972550580 Noch Physician Billing Company LLC Internal Medicine 1309 Sheldon Rd, Grand Haven, MI 49417-2404 2006-05-28
1609859289 Peter J Furey Internal Medicine 15100 Whittaker Way, Grand Haven, MI 49417-8696 2005-11-28
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Competitor

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City GRAND HAVEN
Zip Code 49417

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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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