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

Marie Tysman, MD

Individual provider Pediatrics Physician · NPI 1396326286

Marie Tysman, MD is a Pediatrics Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone: (616) 391-8810
Fax: (616) 391-8897
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4351048201 (MI)

Record details

NPI number1396326286
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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