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

Dr. Kurt Ashack, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073976338

Dr. Kurt Ashack, MD is a Dermatology in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2016, 10 years ago. Practices with Dawm, PLC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2016
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

1740 E Paris Ave SE
Grand Rapids, MI 49546-6204
Phone: (616) 949-5600
Fax: (616) 949-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301501673 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073976338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2016
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address1740 E Paris Ave Se, Grand Rapids, MI 49546-6204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2016 (10 years in practice)
Group practice Dawm, Plc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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