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

Nephrology Consultants of Grand Rapids PC

Organization Nephrology Physician · NPI 1528254877

Nephrology Consultants of Grand Rapids PC is a Nephrology Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

4070 Lake Dr SE Ste 201
Grand Rapids, MI 49525
Phone: (616) 774-8200
Fax: (616) 774-0304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence R0044045 (MI)

Record details

NPI number1528254877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Tuck — Manager Billing · (616) 866-2539
NPI enumeratedSeptember 20, 2007
Last updated in NPPESSeptember 26, 2008
Mailing addressPo Box 150185, Grand Rapids, MI 49515-0185

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