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

Michigan Orthopaedics and Sports Medicine, PC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1932174109

Michigan Orthopaedics and Sports Medicine, PC is a Sports Medicine (Orthopaedic Surgery) Physician in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2911 Knapp St NE Ste A
Grand Rapids, MI 49525
Phone: (616) 451-9925
Fax: (616) 451-9896
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1932174109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Randall — President · (616) 451-9925
NPI enumeratedFebruary 21, 2006
Last updated in NPPESOctober 17, 2012
Mailing address2911 Knapp St Ne, Suite A, Grand Rapids, MI 49525

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