MMPC WEIGHT MANAGEMENT
NPI 1083637003
Surgery in Grand Rapids, MI

Q: What is Mmpc Weight Management's NPI number?

The NPI number for Mmpc Weight Management is 1083637003. It was assigned to this organization in the NPPES registry on July 25, 2006.

Q: What is Mmpc Weight Management's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 25, 2006

4100 LAKE DR SE, S-B01, GRAND RAPIDS, MI 49546(616) 974-4400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mmpc Weight Management NPPES

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

MMPC WEIGHT MANAGEMENT (NPI 1083637003) is a healthcare organization registered as a surgery in Grand Rapids, Michigan and active in the NPI registry since July 2006. The organization lists Daniel Grevengoed, Cpa, as its authorized official.

NPPES Registry Identity

NPI1083637003

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameMMPC WEIGHT MANAGEMENT

Location Address4100 LAKE DR SE, S-B01Grand Rapids, MI 49546-8292

Mailing Address4100 Lake Dr Se, S-300Grand Rapids, MI 49546-8292

Phone(616) 974-4400

Organization SubpartNo

Authorized OfficialDaniel GrevengoedCpa · (616) 974-4431

Enumeration DateJuly 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1083637003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4100 LAKE DR SE, Grand Rapids, MI 49546

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

TELLA KATARINA MINKKINEN PT

Physical Therapist

4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546

Kent County (616) 285-1377

RANDALL SCOTT MEISNER MD

Internal Medicine (Gastroenterology)

4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546

Kent County (616) 267-7414

DR. MARYKAY LEHMAN M.D.

Internal Medicine (Pulmonary Disease)

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 949-8244

GUSTAVO CUMBO-NACHELI

Internal Medicine (Pulmonary Disease)

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 267-8244

JANET DOMINOWSKI RD

Dietitian, Registered

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 267-8950

WALTER M BRAUNOHLER M.D.

Orthopaedic Surgery

4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

Kent County (616) 267-8860

JILL C THORPE PA-C

Physician Assistant

4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546

Kent County (616) 774-2414

PATRICIA BEGGS AT, ATC

Specialist/Technologist (Athletic Trainer)

4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

Kent County (616) 267-8565

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 Mmpc Weight Management's NPI number?

The NPI number for Mmpc Weight Management is 1083637003. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Mmpc Weight Management located?

Mmpc Weight Management is located at 4100 Lake Dr SE S-B01, Grand Rapids, MI 49546. The listed phone number is (616) 974-4400.

What is Mmpc Weight Management's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mmpc Weight Management was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.