MEDICARE: WILLIAM MICHAEL AHRENS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301078260	MI

General Provider Information

NPI Number	:	1417994088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM MICHAEL AHRENS MD

Provider Business Mailing Address
First Line	:	1900 44TH ST SE
Second Line	:
City	:	KENTWOOD
State	:	MI
Zip	:	49508-5008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1471 E BELTLINE AVE NE
Second Line	:	STE 201
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-4548
Country	:	US
Telephone Number	:	616-685-8620
Fax Number	:	616-447-7674

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	04/12/2017

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