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MICHIGAN MEDICAL PATIENT CARE
NPI 1891718813
Clinic/Center - Radiology in Grand Rapids, MI

Active since July 25, 2006
4100 LAKE DR SE, S-102, GRAND RAPIDS, MI 49546(616) 974-4800 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michigan Medical Patient Care NPPES

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

MICHIGAN MEDICAL PATIENT CARE (NPI 1891718813) is a healthcare organization registered as a radiology in Grand Rapids, Michigan and active in the NPI registry since July 2006. The organization lists Pauline (polly) Krywanski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891718813
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameMICHIGAN MEDICAL PATIENT CARE
Location Address4100 LAKE DR SE, S-102Grand Rapids, MI 49546-8292
Mailing Address4085 Burton St Se, Suite 200Grand Rapids, MI 49546-2444
Phone(616) 974-4800
Organization SubpartYes
Authorized OfficialPauline (polly) KrywanskiCfo · (616) 486-2253
Enumeration DateJuly 25, 2006
Last NPPES UpdateSeptember 28, 2010
✔ NPI 1891718813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
4100 LAKE DR SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0M76180

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.

KEVIN EDWARD FITZGERALD MD
Pain Medicine (Interventional Pain Medicine)
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
JOSEPH YARED VANDEN BOSCH MD
Pain Medicine (Interventional Pain Medicine)
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
GRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC
Internal Medicine
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 954-0600
SAKARI ANTERO PERTTULA PT
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
MICHIGAN MEDICAL PATIENT CARE
Internal Medicine
4100 LAKE DR SE, STE 300
GRAND RAPIDS, MI 49546
Kent County (877) 974-4872
TELLA KATARINA MINKKINEN PT
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
DAWN KAY RUDE PT
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
MARK SCARLATO PT
Physical Therapist
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377

Frequently Asked Questions

What is MICHIGAN MEDICAL PATIENT CARE's NPI number?

The NPI number assigned to this healthcare provider is 1891718813, enumerated as an "organization" on July 25, 2006.

Where is the provider located?

The provider is located at 4100 LAKE DR SE S-102 GRAND RAPIDS, MI 49546 and the phone number is (616) 974-4800.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

What insurance does MICHIGAN MEDICAL PATIENT CARE accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.