Provider Demographics
NPI:1144249053
Name:HELZER, MARC ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:ALAN
Last Name:HELZER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5900 BYRON CENTER AVE SW
Mailing Address - Street 2:MEDICAL ADMINISTRATION
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9606
Mailing Address - Country:US
Mailing Address - Phone:616-252-3243
Mailing Address - Fax:616-252-0260
Practice Address - Street 1:4685 BELDING RD NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-9605
Practice Address - Country:US
Practice Address - Phone:616-252-3100
Practice Address - Fax:616-252-3120
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2017-12-05
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Provider Licenses
StateLicense IDTaxonomies
MI4301071154207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH12486Medicare UPIN
MI0M94870012Medicare ID - Type Unspecified
MIOH24993OtherBLUE CROSS AND BLUE SHIELD OF MICHIGAN
MI127885OtherPREFERRED CHOICES
MICB2510OtherRAILROAD MEDICARE