Graduated: 2026
NPI: 1942139894
Practice Locations (3)
2922 FULLER AVE NE, SUITE 105
GRAND RAPIDS, MI 495053459
1241 BALDWIN ST
Jenison, MI 494288907
1241 BALDWIN ST
JENISON, MI 494288907
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2026
NPI: 1942139894
2922 FULLER AVE NE, SUITE 105
GRAND RAPIDS, MI 495053459
1241 BALDWIN ST
Jenison, MI 494288907
1241 BALDWIN ST
JENISON, MI 494288907
Source: CMS National Downloadable File, September 2026.