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

Russel D Jelsema, MD

Individual provider Specialist · NPI 1588654263

Russel D Jelsema, MD is a Specialist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
2
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

221 Michigan St NE Ste 600
Grand Rapids, MI 49503-2543
Phone: (616) 774-7035
Fax: (616) 774-4057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 4301407131 (MI)
Specialist Taxonomy 174400000X · Licence RJ407131 (MI)

Record details

NPI number1588654263
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESSeptember 1, 2015
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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