Whalio Doctors

NPI 1144281080

Kevin Edward Fitzgerald, MD

Practitioner Interventional Pain Medicine Physician Grand Rapids, MI

Practice location

Address
4100 Lake Dr SE STE 305, Grand Rapids, MI 49546
Phone
(616) 285-1377
Fax
(616) 285-1006
Mailing address
61 Commerce Ave SW, Grand Rapids, MI 49503-4124

Registered specialties

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 4301044533 (MI)

Registry record

NPI
1144281080
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Mar 2006
Record last updated
18 Nov 2008

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.