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

Internal Medicine and Pediatrics of West Michigan

Organization Internal Medicine Physician · NPI 1104170661

Internal Medicine and Pediatrics of West Michigan is an Internal Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

655 Kenmoor Ave SE Ste 200
Grand Rapids, MI 49546
Phone: (616) 363-7690
Fax: (616) 942-8917
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301071009 (MI)

Record details

NPI number1104170661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna Rawlings — Office Manager · (616) 323-3227
NPI enumeratedNovember 6, 2012
Last updated in NPPESApril 15, 2024
Mailing address655 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546

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