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

Lakeland Community Hospital Watervliet

Organization Family Medicine Physician · NPI 1568644052

Lakeland Community Hospital Watervliet is a Family Medicine Physician in Watervliet, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
Specialties on file
5

Practice location Address checks out

400 Medical Park Dr
Watervliet, MI 49098
Phone: (269) 463-3111
Show map & directions

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

Additional practice locations (2)

  • 6559 Paw Paw Ave, Coloma, MI 49038-8805 — (616) 463-3600
  • 2500 Niles Rd, Saint Joseph, MI 49085-3237 — (616) 463-3600

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301043583 (MI)
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1568644052
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCorewell Health
Authorized official Ryan Catignani — Vp Finance · (947) 522-0536
Other names Corewell Health Watervliet Hospitals
NPI enumeratedNovember 27, 2007
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Other providers in Watervliet