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

Integrated Physical Medicine PLLC

Organization Family Medicine Physician · NPI 1790067015

Integrated Physical Medicine PLLC is a Family Medicine Physician in Rockford, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
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

6769 Courtland Dr NE Ste 100
Rockford, MI 49341-7242
Phone: (616) 863-9482
Fax: (616) 863-9486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301059449 (MI)

Record details

NPI number1790067015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erik Stanton — General Manager · (616) 863-9482
NPI enumeratedSeptember 13, 2011
Last updated in NPPESSeptember 13, 2011
Mailing address6769 Courtland Dr Ne, Suite 100, Rockford, MI 49341-7242

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