MEDICARE: THE MEDICAL TEAM, INC.

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	251G00000X	Community Based Hospice Care Agency	1040000012	MI

General Provider Information

NPI Number	:	1588019319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MEDICAL TEAM, INC.

Provider Business Mailing Address
First Line	:	400 ANN ST NW STE 104
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49504-2053
Country	:	US
Telephone Number	:	616-965-2280
Fax Number	:	616-930-4376

Provider Business Practice Location Address
First Line	:	400 ANN ST NW
Second Line	:	SUITE 104
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49504-2052
Country	:	US
Telephone Number	:	616-965-2280
Fax Number	:	616-930-4376

Authorized Official
Title or Position	:	CFO
Name	:	RYAN GRISARD
Credential	:
Telephone Number	:	703-390-2300

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	10/14/2022

Similar Medicare Providers

1659886109 — SHANNON LEANNE FOSTER MS OTR/L
Practice Location Address:

400 ANN ST NW
GRAND RAPIDS, MI
49504-2052

Practice Phone: 810-610-7588
Practice Fax:

1790346955 — TRAICE MARIE ROKITA
Practice Location Address:

400 ANN ST NW
GRAND RAPIDS, MI
49504-2052

Practice Phone: 616-591-2905
Practice Fax:

1194276139 — MELISSA OSBORN
Practice Location Address:

4021 KEEWEENAW DR NE
GRAND RAPIDS, MI
49525-2052

Practice Phone: 503-754-0866
Practice Fax:

1699862888 — GRAND VALUE PHARMACY INC
Practice Location Address:

10920 GRAND RIVER AVE
DETROIT, MI
48204-2052

Practice Phone: 313-931-0010
Practice Fax: 313-934-1658

1285768341 — MR. KEVIN CHARLES WHITE R.PH.
Practice Location Address:

10920 GRAND RIVER AVE
DETROIT, MI
48204-2052

Practice Phone: 313-931-0010
Practice Fax: 313-934-1658

1538551775 — SHIRLEY IKELER
Practice Location Address:

5048 TREEHILL RD
GRAND BLANC, MI
48439-2052

Practice Phone: 810-730-2062
Practice Fax:

Directions to “THE MEDICAL TEAM, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.