NPI 1144281080
Kevin Edward Fitzgerald, MD
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
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.