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

Internal Medicine of West Michigan PLLC

Organization Internal Medicine Physician · NPI 1619028412

Internal Medicine of West Michigan PLLC is an Internal Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3200 Eagle Park Dr NE Ste 102
Grand Rapids, MI 49525-7057
Phone: (616) 285-9090
Fax: (616) 285-7947
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (MI)

Record details

NPI number1619028412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Kozak — Partner · (616) 285-9090
Other names Dr'S Marvin, Gans And Roslaniec
NPI enumeratedJanuary 16, 2007
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address3200 Eagle Park Dr Ne, Suite 102, Grand Rapids, MI 49525-7057

Other providers in Grand Rapids