Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
QUINN ALYSE ICKE
Active Sole ProprietorQUINN ALYSE ICKE is a Pediatrics healthcare provider located in GRAND RAPIDS, Michigan. NPI 1306589940 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1306589940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2022 (4.3331355066549 yrs)
- Last Updated
- Apr 10, 2025
- License
-
4351052915 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 MICHIGAN ST NE FL 8GRAND RAPIDS, MI, 495032531Browse MI providers · Browse ZIP 49503
- Phone
- 6163918810
- Fax
- 6163918897
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN H WAKEFIELD | MD | 1013909787 |
| DR. RICHARD E WOOD | MD | 1427040997 |
| DR. CLAIRE D OLGREN | MD | 1104819036 |
| DR. MARCY S LARSON | MD | 1083607931 |
| DR. MICHAEL S MEINDERTSMA | MD | 1124011093 |
| DR. JOAN M DOWNS | MD | 1770577496 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.