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

Stephen Prefontaine, DO, PLC

Organization Family Medicine Physician · NPI 1124274006

Stephen Prefontaine, DO, PLC is a Family Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

4081 Cascade Rd SE Ste A
Grand Rapids, MI 49546-2170
Phone: (616) 336-7662
Fax: (616) 336-7682
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101011668 (MI)

Record details

NPI number1124274006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Prefontaine — Owner · (616) 336-7662
NPI enumeratedAugust 12, 2008
Last updated in NPPESAugust 12, 2008
Mailing address4081 Cascade Rd Se, Suite A, Grand Rapids, MI 49546-2170

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