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

Dr. Marilyn Innes, MD

Individual provider Emergency Medicine Physician · NPI 1629451125

Dr. Marilyn Innes, MD is an Emergency Medicine in Grand Rapids, Michigan. Qualified in 2002, 24 years ago. Practices with Grand River Emergency Medical Group PLC, a 42-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2015
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

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 685-6781
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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 4301108315 (MI)

Record details

NPI number1629451125
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 1, 2015
Mailing address200 Jefferson Ave Se, Po Box 3578, Grand Rapids, MI 49503-4502

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Grand River Emergency Medical Group Plc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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