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

Michigan Medical Patient Care

Organization Podiatrist · NPI 1174689608

Michigan Medical Patient Care is a Podiatrist in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4069 Lake Dr SE Ste 315 B
Grand Rapids, MI 49546-8816
Phone: (616) 464-2810
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1174689608
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMichigan Medical Patient Care
Authorized official Scott Harring — Cfo · (616) 974-4889
NPI enumeratedDecember 29, 2006
Last updated in NPPESMarch 2, 2010
Mailing address4085 Burton St Se, Suite 200, Grand Rapids, MI 49546-2444

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