NPI 1043075294
Address Healthcare of Michigan PLLC
Practice location
- Address
- 600 Monroe Avenue NW STE 104, Grand Rapids, MI 49503-1470
- Phone
- (616) 366-4234
- Fax
- (855) 548-4481
- Mailing address
- 3940 Peninsular Drive SE STE 230, Grand Rapids, MI 49546-2442
Authorised official
- Name
- Jeffrey L Wacksman
- Title
- Authorized Official
- Phone
- (616) 366-4234
Registered specialties (6)
Internal Medicine Physician
Primary
Optometrist
Hospice and Palliative Medicine (Internal Medicine) Physician
Geriatric Psychiatry Physician
Foot & Ankle Surgery Podiatrist
Adult Health Nurse Practitioner
Registry record
- NPI
- 1043075294
- Entity type
- Organization
- NPI issued
- 16 Feb 2024
- Record last updated
- 5 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.