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

Michigan Medical Patient Care

Organization Physician Assistant · NPI 1194907089

Michigan Medical Patient Care is a Physician Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

4100 Lake Dr SE Ste 300
Grand Rapids, MI 49546-8292
Phone: (616) 974-4889
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MI)

Record details

NPI number1194907089
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMichigan Medical Patient Care
Authorized official Scott Harring — Cfo · (616) 974-4889
NPI enumeratedDecember 3, 2007
Last updated in NPPESMarch 2, 2010
Mailing address4085 Burton St Se, Suite 200, Grand Rapids, MI 49546-2444

Other providers in Grand Rapids