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

Quinn Alyse Icke

Individual provider Pediatrics Physician · NPI 1306589940

Quinn Alyse Icke is a Pediatrics Physician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

275 Michigan St NE Fl 8
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 4351052915 (MI)

Record details

NPI number1306589940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2022
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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