Provider Demographics
NPI:1750459285
Name:SAIER, RICK DAVID (MD)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:DAVID
Last Name:SAIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 STATE ST SE
Mailing Address - Street 2:STE 228
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503
Mailing Address - Country:US
Mailing Address - Phone:616-685-1808
Mailing Address - Fax:616-685-1850
Practice Address - Street 1:1175 WILSON AVE
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:MI
Practice Address - Zip Code:49534
Practice Address - Country:US
Practice Address - Phone:616-685-8650
Practice Address - Fax:616-785-4135
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI403817207RG0300X
MI4301403817207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RS403817OtherCOMMERCIAL-COMMERCIAL NUMBER
RS403817OtherCHAMPUS-CHAMPUS
700H262220OtherBLUE CROSS-BLUE CROSS
MI199506210Medicaid
B28643Medicare UPIN
0H26222249Medicare ID - Type Unspecified
RS403817OtherCOMMERCIAL-COMMERCIAL NUMBER