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

Dr. John Michael Formolo, MD

Individual provider Cardiovascular Disease Physician · NPI 1619921475

Dr. John Michael Formolo, MD is a Cardiovascular Disease Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

1000 E Paris Ave SE Ste 200
Grand Rapids, MI 49546-3680
Phone: (616) 949-8554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence JF036515 (MI)

Record details

NPI number1619921475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESMarch 31, 2008
Mailing address1000 E Paris Ave Se, Ste 200, Grand Rapids, MI 49546-3691

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