DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN

Active Organization

INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN is a Internal Medicine organization located in GRAND RAPIDS, Michigan. NPI 1104170661 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · GRAND RAPIDS, MI

Registration Details

NPI Number
1104170661
Provider Type
Organization
NPI Issued
Nov 6, 2012 (13.798232767573 yrs)
Last Updated
Apr 15, 2024
License
4301071009 (MI)

Practice Information

Address
655 KENMOOR AVE SE
SUITE 200
GRAND RAPIDS, MI, 49546
Browse MI providers · Browse ZIP 49546
Phone
6163637690
Fax
6169428917
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.