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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619781952

Natenael Kebede Nesibu, DO is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

275 Michigan St NE Fl 9
Grand Rapids, MI 49503-2531
Phone: (616) 391-3777
Fax: (616) 391-3755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5151017318 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619781952
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 6, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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