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

Mr. Michael Robert Deboer

Individual provider Pharmacist · NPI 1306175468

Mr. Michael Robert Deboer is a Pharmacist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2009
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Practice location Address checks out

3876 E Paris Ave SE Ste 13
Grand Rapids, MI 49512-3974
Phone: (616) 977-9700
Fax: (616) 855-0937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302030990 (MI)

Record details

NPI number1306175468
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 18, 2009
Last updated in NPPESDecember 18, 2009
Mailing address3876 E Paris Ave Se, Suite 13, Grand Rapids, MI 49512-3974

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