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

Mfb Professional Services Inc

Organization Family Medicine Physician · NPI 1003909524

Mfb Professional Services Inc is a Family Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1155 E Paris Ste 200
Grand Rapids, MI 49546
Phone: (616) 233-3480
Fax: (616) 233-3481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301042627 (MI)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 4301059802 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1003909524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Deneff — Vp Finance · (616) 242-0403
NPI enumeratedOctober 2, 2006
Last updated in NPPESFebruary 4, 2013
Mailing address235 Wealthy Se, Grand Rapids, MI 49503

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