Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gastroenterology Specialist PC

Organization Gastroenterology Physician · NPI 1003099904

Gastroenterology Specialist PC is a Gastroenterology Physician in Grand Rapids, Michigan. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1179 E Paris Ave SE Ste 200
Grand Rapids, MI 49546-3682
Phone: (616) 975-9100
Fax: (616) 975-1161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1003099904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Atkinson — Manager · (616) 975-9100
NPI enumeratedDecember 13, 2007
Last updated in NPPESDecember 13, 2007
Mailing address1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-3682

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