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

Pediatric Surgeons of West Michigan PC

Organization Surgery Physician · NPI 1477516110

Pediatric Surgeons of West Michigan PC is a 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

330 Barclay NE Ste 202
Grand Rapids, MI 49503
Phone: (616) 458-1722
Fax: (616) 458-0061
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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 number1477516110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jamula — Practice Manager · (616) 458-1722
NPI enumeratedApril 11, 2006
Last updated in NPPESMarch 8, 2017
Mailing address330 Barclay Ne, Suite 202, Grand Rapids, MI 49503

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