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

David P Petersen, MD

Individual provider Surgery Physician · NPI 1558353540

David P Petersen, MD is a Surgery Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 Leffingwell Ave NE Ste 200
Grand Rapids, MI 49525-6406
Phone: (616) 957-4263
Fax: (616) 957-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery of the Hand (Surgery) Physician (primary) Taxonomy 2086S0105X · Licence 4301039798 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301039798 (MI)

Record details

NPI number1558353540
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2005
Last updated in NPPESApril 24, 2008

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