1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Clinic Center
  6. NPI Profile

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: August 16, 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.

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 Michigan Medical Patient Care's NPI number?

The NPI number for Michigan Medical Patient Care is 1891718813. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Michigan Medical Patient Care located?

Michigan Medical Patient Care is located at 4100 Lake Dr SE S-102, Grand Rapids, MI 49546. The listed phone number is (616) 974-4800.

What is Michigan Medical Patient Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Michigan Medical Patient Care was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.