MEDICARE: JENISON PODIATRY PC

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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1477530954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENISON PODIATRY PC

Provider Business Mailing Address
First Line	:	4310 LEONARD ST NW
Second Line	:	SUITE 103
City	:	WALKER
State	:	MI
Zip	:	49534
Country	:	US
Telephone Number	:	616-453-6329
Fax Number	:	616-453-1725

Provider Business Practice Location Address
First Line	:	669 BALDWIN ST
Second Line	:
City	:	JENISON
State	:	MI
Zip	:	49428-7903
Country	:	US
Telephone Number	:	616-457-7171
Fax Number	:	616-457-1121

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. GENE L OOSTERHOUSE
Credential	:	DPM
Telephone Number	:	616-457-7171

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	02/01/2011

Similar Medicare Providers

1154307098 — DR. GENE L OOSTERHOUSE DPM
Practice Location Address:

669 BALDWIN ST
JENISON, MI
49428-7903

Practice Phone: 616-457-7171
Practice Fax: 616-457-1121

1861479669 — DR. JAMES G CLAY DPM
Practice Location Address:

669 BALDWIN ST
JENISON, MI
49428-7903

Practice Phone: 616-457-7171
Practice Fax: 616-457-1121

1518690635 — JANE BOESCHENSTEIN DDS PC
Practice Location Address:

657 BALDWIN ST
JENISON, MI
49428-7903

Practice Phone: 616-532-3212
Practice Fax:

1174333991 — SCHAEFER DENTAL GROUP - GRAND RAPIDS, PLLC
Practice Location Address:

657 BALDWIN ST
JENISON, MI
49428-7903

Practice Phone: 616-532-3212
Practice Fax: 616-532-3193

1447255914 — DR. ROBERT C HUIZENGA O D
Practice Location Address:

7673 GEORGETOWN CENTER DR
JENISON, MI
49428-8101

Practice Phone: 616-457-2020
Practice Fax: 616-457-4043

1346241742 — DR. ERIC RYAN HARTMAN D. C.
Practice Location Address:

302 BALDWIN ST
JENISON, MI
49428-7909

Practice Phone: 616-457-1168
Practice Fax: 616-457-1196

Directions to “JENISON PODIATRY PC ” 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 © 2007-2026 (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.