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

Grand Rapids Thoracic Surgery, PLLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1336504760

Grand Rapids Thoracic Surgery, PLLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4500 Cascade Rd SE Ste 210
Grand Rapids, MI 49546-3665
Phone: (616) 259-7341
Fax: (616) 259-7642
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 4301104138 (MI)

Record details

NPI number1336504760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lourens Willekes — Owner · (616) 259-7341
NPI enumeratedDecember 30, 2015
Last updated in NPPESDecember 30, 2015
Mailing address4500 Cascade Rd Se, Suite 210, Grand Rapids, MI 49546-3665

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