Daniel J Stalsonburg (NPI# 1720169246, PAC ID# 6002830866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720169246 |
| PAC ID by PECOS | 6002830866 |
| Professional Enrollment ID | I20060119000320 |
| Full Name | Daniel J Stalsonburg |
| Organization Legal Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Address |
2332 Alpine Nw Ave Grand Rapids MI 49544-1955 |
| Phone Number | 6163916236 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4587568647 |
| Number of Group Practice Members | 1148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH - BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2332 Alpine Nw Ave, Grand Rapids, MI 49544-1955 | 6163916236 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 4444 Kalamazoo Se Ave, Kentwood, MI 49508-4600 | 6163913302 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 4444 Kalamazoo Se Ave, Suite 104, Kentwood, MI 49508-4600 | 6163913302 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 4444 Kalamazoo Seave, Kentwood, MI 49508-4600 | 6163915600 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Organization Legal Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Physicians | 1352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather L Bur | Nurse Practitioner | Spectrum Health Primary Care Partners | 4100 Lake Dr Se, B01 Shmg Bariatric Surgery, Grand Rapids, MI 49546-8292 |
| Emily Elizabeth Fulton | Physician Assistant | Spectrum Health Primary Care Partners | 8501 Meadow Crk, Rockford, MI 49341-7524 |
| Erik Christopher Peterson | Nurse Practitioner | Spectrum Health Primary Care Partners | 230 Michigan St Ne, Suite 230, Grand Rapids, MI 49503-2550 |
| Bethany Soule Duyser | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
| Nichole Anne Bundschuh | Nurse Practitioner | Spectrum Health Primary Care Partners | 9090 S Rodgers Ct Se A, Shmg Family Medicine Caledonia, Caledonia, MI 49316-8052 |
| Sarah Anne Jongsma | Clinical Social Worker | Spectrum Health Primary Care Partners | 3152 Port Sheldon Rd, Hudsonville, MI 49426-9297 |
| Ora Darling | Physician Assistant | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Mudita Bhugra | Internal Medicine | Spectrum Health Primary Care Partners | 1900 Wealthy Se, Suite 200, Grand Rapids, MI 49506-2969 |
| Marcos Itamar Cordoba-munoz | Obstetrics/gynecology | Spectrum Health Primary Care Partners | 25 Michigan St Ne, Shmg Diabetes Education (25 Mich), Grand Rapids, MI 49503-2515 |
| Jason Biehl | Pulmonary Disease | Spectrum Health Primary Care Partners | 35 Michigan Ne, Grand Rapids, MI 49503-2508 |
| Street Address |
2332 ALPINE NW AVE |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49544-1955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron J Defrang | Family Medicine | Spectrum Health Primary Care Partners | 2332 Alpine Nw Ave, Grand Rapids, MI 49544-1955 |
| Mary P Foote | Nurse Practitioner | Spectrum Health Primary Care Partners | 2332 Alpine Nw Ave, Grand Rapids, MI 49544-1955 |
| Michael V Bergquist | Internal Medicine | Spectrum Health Primary Care Partners | 2332 Alpine Nw Ave, Grand Rapids, MI 49544-1955 |
| Justin G Voorhees | Internal Medicine | Spectrum Health Primary Care Partners | 2332 Alpine Nw Ave, Grand Rapids, MI 49544-1955 |
| James P Ranta | Family Practice | Spectrum Health Primary Care Partners | 2332 Alpine Nw Ave, Grand Rapids, MI 49544-1955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan K Bailey | Nurse Practitioner | Pine Rest Christian Mental Health Services | 2118 3 Mile Nwrd, Grand Rapids, MI 49544-1425 |
| Sarah K Deyoung | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Chelsea M Collins | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Stephen E Kornoely | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Jonathan M Haeffele | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Elizza B Lejeune | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Julie Ann Lasky Albright | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Lisa A Hanna | Physician Assistant | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Justin D Sides | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Pine Rest Northwest Clinic, Grand Rapids, MI 49544-1452 |
| Nicole Markiewicz | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 933 3 Mile Rd Nw, Suite 210, Grand Rapids, MI 49544-1673 |
| Find all physicians in zip 49544 | |||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAND RAPIDS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Daniel J Stalsonburg.
| 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.