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

Primary Care Surgical PLLC

Organization Family Medicine Physician · NPI 1134440605

Primary Care Surgical PLLC is a Family Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2290 Kamp Valley Ct NE
Grand Rapids, MI 49525-9758
Phone: (616) 685-1808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1134440605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Reyelts — Md · (616) 685-1808
NPI enumeratedJune 18, 2010
Last updated in NPPESJanuary 17, 2011
Mailing address2290 Kamp Valley Ct Ne, Grand Rapids, MI 49525-9758

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