MARY R PELL D.O.
NPI 1629032800
Family Medicine in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since April 14, 2006

1471 GRACE ST SE, GRAND RAPIDS, MI 49506(616) 913-2011(616) 913-2005 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2017, Feb 17, 2017, Nov 1, 2016 (3 updates tracked since 2016).

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About Mary R Pell D.o. NPPES

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

MARY R PELL D.O. (NPI 1629032800) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101009455) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1629032800

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY R PELLCredential: D.O.

Location Address1471 GRACE ST SEGrand Rapids, MI 49506-1678

Mailing Address1471 Grace St SeWyoming, MI 49506 · (616) 913-2006 · Fax (616) 913-2005

Phone(616) 913-2011

Fax(616) 913-2005

Sole ProprietorNo

Enumeration DateApril 14, 2006

Last NPPES UpdateDecember 5, 20173 updates tracked since enumeration

✔ NPI 1629032800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101009455

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1471 GRACE ST SE, Grand Rapids, MI 49506

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