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

Grand River Surgery, PLLC

Organization Surgery Physician · NPI 1790894822

Grand River Surgery, PLLC is a Surgery Physician in Wyoming, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

2093 Health Dr SW Ste 300
Wyoming, MI 49519
Phone: (616) 532-8100
Fax: (616) 532-8200
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101014347 (MI)

Record details

NPI number1790894822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaret Beane — Owner · (616) 532-8100
NPI enumeratedAugust 30, 2006
Last updated in NPPESNovember 16, 2007
Mailing address2093 Health Drive Sw, Suite 300, Wyoming, MI 49519

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