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DR. JUSTIN BLAAUWENDRAAT M.D.
NPI 1902289697
Family Medicine in Grand Rapids, MI

Active since June 30, 2015
300 LAFAYETTE AVE SE, SUITE 4000, GRAND RAPIDS, MI 49503(616) 685-6922 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Blaauwendraat M.d. NPPES

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

DR. JUSTIN BLAAUWENDRAAT M.D. (NPI 1902289697) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301107794) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1902289697
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUSTIN BLAAUWENDRAATCredential: M.D.
Location Address300 LAFAYETTE AVE SE, SUITE 4000Grand Rapids, MI 49503-4692
Mailing Address300 Lafayette Ave Se, Suite 4000Grand Rapids, MI 49503-4692 · (616) 685-6922
Phone(616) 685-6922
Sole ProprietorNo
Enumeration DateJune 30, 2015
✔ NPI 1902289697 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 · 4301107794
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.
300 LAFAYETTE AVE SE, Grand Rapids, MI 49503
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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.

DESMOND JAVON HARDEN MD
Internal Medicine
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
IBRAHIM RAZA MD
Internal Medicine
300 LAFAYETTE AVE SE, SUITE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-4615
ALLISON WILLETT RDN
Dietitian, Registered
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5003
SHRUTI JAVALI
Family Medicine
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
JOHN CAVACECE DO
Family Medicine
300 LAFAYETTE AVE SE, SUITE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
RUGGERO BATTAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 LAFAYETTE AVE SE, STE 2045
GRAND RAPIDS, MI 49503
Kent County (616) 685-8760
MAHA AYASHI MD
Family Medicine
300 LAFAYETTE AVE SE, STE 4000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
JOHN VANSCHAGEN MD
Family Medicine
300 LAFAYETTE AVE SE, SUITE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922

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 Justin Blaauwendraat's NPI number?

The NPI number for Justin Blaauwendraat is 1902289697. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Justin Blaauwendraat located?

Justin Blaauwendraat practices at 300 Lafayette Ave SE Suite 4000, Grand Rapids, MI 49503. The listed phone number is (616) 685-6922.

What is Justin Blaauwendraat's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Justin Blaauwendraat was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.