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

West Michigan Family Practice, PC

Organization Emergency Medicine Physician · NPI 1639382211

West Michigan Family Practice, PC is an Emergency Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
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

877 Forest Hill Ave SE Ste C
Grand Rapids, MI 49546-2380
Phone: (616) 954-0402
Fax: (616) 954-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101010305 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101010305 (MI)

Record details

NPI number1639382211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daryl Lawrence-Friedl — D.O. · (616) 954-0402
Other names Ada Village Medical
NPI enumeratedMay 8, 2007
Last updated in NPPESOctober 22, 2011
Mailing address877 Forest Hills, Suite C, Grand Rapids, MI 49546-2380

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