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

Mary J Vanostenberg, MD

Individual provider Emergency Medicine Physician · NPI 1770780736

Mary J Vanostenberg, MD is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2007, 19 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2007
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

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (606) 391-1680
Fax: (616) 285-0846
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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 4301090715 (MI)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 4301090715 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301090715 (MI)

Record details

NPI number1770780736
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESApril 27, 2012
Mailing address2537 Momentum Pl, Chicago, IL 60689-5325

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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