Provider Demographics
NPI:1457321119
Name:POSTEMA, JAMES ARTHUR (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ARTHUR
Last Name:POSTEMA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 WISCONSIN STREET SUITE 301
Mailing Address - Street 2:NORTH OTTAWA FAMILY PRACTICE
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417
Mailing Address - Country:US
Mailing Address - Phone:616-844-4701
Mailing Address - Fax:616-847-1863
Practice Address - Street 1:1310 WISCONSIN STREET SUITE 301
Practice Address - Street 2:NORTH OTTAWA FAMILY PRACTICE
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417
Practice Address - Country:US
Practice Address - Phone:616-844-4701
Practice Address - Fax:616-847-1863
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101011335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5530015OtherAETNA
MIDF4619OtherMEDICARE RR GROUP
MI080G011310OtherBCBSM GROUP PIN
MIDF4619OtherMEDICARE RR GROUP
MI0P31360001Medicare PIN