Gretchen J Roe
Anesthesiologist Emergency Physician Emergency Medical Services Family Doctor - Hospice and Palliative Medicine
145 Michigan St Ne Suite 3410
Grand Rapids
, Michigan 49503-2562
Gretchen J Roe
Anesthesiologist Emergency Physician Emergency Medical Services Family Doctor - Hospice and Palliative Medicine
145 Michigan St Ne Suite 3410
Grand Rapids
, Michigan 49503-2562
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About
Features
Specialties
- Anesthesiologist
- Emergency Physician
- Emergency Medical Services
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Gretchen J Roe
- 100 Michigan St Ne Mc 845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Gretchen J Roe
- 145 Michigan St Ne Suite 3410
- Grand Rapids, MI
- Zip : 49503-2562
- Phone : (616) 391-9945
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | 4301089367 | MI |
| N | 207P00000X | Emergency Physician | 4301089367 | MI |
| N | 207PE0004X | Emergency Medical Services | 4301089367 | MI |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 4301089367 | MI |
National Provider Identifier
| NPI | 1588794770 |
|---|---|
| Provider Name | Gretchen J Roe |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503-2562 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2007 |
| Last Update Date | 22/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00416276 | RAILROAD MEDICARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.