Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THADDEUS P. SRUTWA, M.D.
Active Sole ProprietorPhysical Medicine & Rehabilitation · GRAND HAVEN, MI
Registration Details
- NPI Number
- 1366489635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2006 (19.927865294439 yrs)
- Last Updated
- Aug 5, 2021
- Licenses
-
4301045363 (MI)4301045353 (MI)4301045353 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16986 ROBBINS RD STE 180GRAND HAVEN, MI, 494172795Browse MI providers · Browse ZIP 49417
- Phone
- 6162130253
- Fax
- 6162962423
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in GRAND HAVEN, MI
| Name | Credential | NPI |
|---|---|---|
| RYAN JAMES HODGES | M.D. | 1851753610 |
| MRS. JENNIFER NICOLE RYCENGA | LPTA | 1699240374 |
| SAMANTHA BREWER | — | 1114717774 |
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.