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

Dr. Peter Bradley Wenn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073019337

Dr. Peter Bradley Wenn, MD is an Interventional Cardiology in Grand Rapids, Michigan. Qualified in 2018, 8 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
3
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 49546-8383
Phone: (616) 685-3450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2201 Hempstead Tpke, East Meadow, NY 11554-1859 — (516) 572-0123

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 4301514298 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301514298 (MI)

Record details

NPI number1073019337
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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