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Dr. Kenneth J Fawcett JR., MD
Pediatrics Physician in Grand Rapids, Michigan
NPI 1972507788

Kenneth J Fawcett JR. is a Pediatrics Physician based in Grand Rapids, MI. Kenneth J Fawcett JR. practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Kenneth J Fawcett JR. is 1972507788 and holds a License No. 4301054239 (Michigan).

The current practice location address for Kenneth J Fawcett JR. is 3271 Clear Vista Ct Ne, Grand Rapids, MI and can be reached out via phone at 616-391-7800 and via fax at 616-391-7838.

Location: 3271 Clear Vista Ct Ne, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972507788
Provider Name
Kenneth J Fawcett JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3271 Clear Vista Ct Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-391-7800
Fax Number
616-391-7838
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0N10270003 01 MI MEDICARE GROUP
4199704 05 MI
institution
Provider Business Practice Location Address Details
Address
3271 Clear Vista Ct Ne
City
Grand Rapids
State
Michigan
Zip
49525-9477
Phone Number
616-391-7800
Fax Number
616-391-7838
person
Provider Business Mailing Address Details
Address
3271 Clear Vista Ct Ne
City
Grand Rapids
State
Michigan
Zip
49525-9477
Phone Number
616-391-7800
Fax Number
616-391-7838
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
4301054239 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
4301054239 (Michigan)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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