Graduated: 2025
NPI: 1386521623
Practice Locations (2)
GRAND RIVER REHABILITATION LLC
412 PLYMOUTH AVE NE
GRAND RAPIDS, MI 495056028
6167802324
ASCENSION MEDICAL GROUP PROMED
7901 ANGLING RD
PORTAGE, MI 490240714
2693248600
Source: CMS National Downloadable File, September 2026.