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

Geriatric & Extended Rehabilitation Medicine LLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1609810985

Geriatric & Extended Rehabilitation Medicine LLC is a Geriatric Medicine (Family Medicine) Physician in Grand Haven, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1159 S Harbor Dr Ste C-4
Grand Haven, MI 49417-1777
Phone: (616) 844-4067
Fax: (616) 844-4067
Show map & directions

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

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 5101009705 (MI)

Record details

NPI number1609810985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Rutherford — Owner President · (616) 844-4067
NPI enumeratedJune 16, 2006
Last updated in NPPESOctober 4, 2011
Mailing address1159 S Harbor, C4, Grand Haven, MI 49417-1777

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