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

Mmpc Weight Management

Organization Surgery Physician · NPI 1083637003

Mmpc Weight Management is a Surgery Physician in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4100 Lake Dr SE S-B01
Grand Rapids, MI 49546-8292
Phone: (616) 974-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1083637003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Grevengoed — Cpa · (616) 974-4431
NPI enumeratedJuly 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4100 Lake Dr Se, S-300, Grand Rapids, MI 49546-8292

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