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

Pennock Hospital

Organization Family Medicine Physician · NPI 1205281045

Pennock Hospital is a Family Medicine Physician in Wayland, Michigan. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

12851 W M 179 Hwy
Wayland, MI 49348-9318
Phone: (877) 377-7322
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1205281045
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital
Authorized official Deidre Weller — Controller · (269) 945-1212
NPI enumeratedApril 29, 2016
Last updated in NPPESApril 29, 2016
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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