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EMILY DIETRICH MD
NPI 1053533646
Obstetrics & Gynecology in Grand Rapids, MI

Active since May 03, 2007
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-6501(616) 685-3052 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emily Dietrich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY DIETRICH MD (NPI 1053533646) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301088429) and active in the NPI registry since May 2007. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1053533646
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameEMILY DIETRICHCredential: MD
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503
Mailing Address1900 44th St SeKentwood, MI 49508-5008
Phone(616) 685-6501
Fax(616) 685-3052
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 20, 2018
✔ NPI 1053533646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301088429
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

200 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Secondary Practice Location 1

Location 1221 Michigan St NE, Suite 600Grand Rapids, MI 49503-2543 · Phone (616) 774-7035 · Fax (616) 774-4057

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE LIND THOMPSON PT
Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
ANNE MARIE TALBOT CRNA
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6063
DR. ADAM MICHAEL ANDERSON MD
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000
MARIA E DIMUSTO-POORTENGA MD
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Kent County (616) 752-6554
THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5030
MELISSA SUE HUDECZ MS, OTR/L
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
TIMOTHY RUSSELL LEONARD
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 465-5910
CAMRIA RENEE DEATON BSN, RN
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Dietrich's NPI number?

The NPI number for Emily Dietrich is 1053533646. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Emily Dietrich located?

Emily Dietrich practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-6501.

What is Emily Dietrich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Emily Dietrich was last updated on September 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.