Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tina W Wong-Gillam, MD-PHD

Individual provider Surgery Physician · NPI 1578940334

Tina W Wong-Gillam, MD-PHD is a Surgical Oncology in Grand Rapids, Michigan. Graduated from Mayo Medical School in 2015, 11 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Trained at
Mayo Medical School
Licensed in
MI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

145 Michigan St NE Ste 5500
Grand Rapids, MI 49503-2565
Phone: (616) 267-8540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 4301508285 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301508285 (MI)

Record details

NPI number1578940334
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD-PHD
Sole proprietorNo
NPI enumeratedApril 30, 2015
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025

Medicare enrollment

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

Medicare specialtySURGICAL ONCOLOGY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Grand Rapids