JAMES M DIEKEMA PA

LEGACY PHYSICIAN GROUP, P.C.

Dr JAMES M DIEKEMA PA is a male medical professional, specializing in Physician Assistant. He graduated in 1997.

Contact

LEGACY PHYSICIAN GROUP, P.C.

1540 LAKE LANSING RD
SUITE 203
LANSING
MI
489123757

Tel: 5179136711

JAMES M DIEKEMA PA Information

Npi 1619080702
Pac Id 4880589431
Professional Enrollment Id I20040220000959
Last Name DIEKEMA
First Name JAMES
Middle Name M
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 1997
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LEGACY PHYSICIAN GROUP, P.C.
Group Practice Pac Id 0648277830
Number Of Group Practice Members 7
Line 1 Street Address 1540 LAKE LANSING RD
Line 2 Street Address SUITE 203
Marker Of Address Line 2 Suppression
City LANSING
State MI
Zip Code 489123757
Phone Number 5179136711
Hospital Affiliation Ccn 1 230303
Hospital Affiliation Lbn 1 MUNSON HEALTHCARE MANISTEE HOSPITAL
Hospital Affiliation Ccn 2 230093
Hospital Affiliation Lbn 2 SPECTRUM HEALTH BIG RAPIDS HOSPITAL
Hospital Affiliation Ccn 3 231323
Hospital Affiliation Lbn 3 SPECTRUM HEALTH REED CITY HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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