Med1

Specialty details in registry · Kentwood, MI

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At a glance

4433 Breton Rd Se, Kentwood, MI 49508-5273

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4433 Breton Rd Se
Kentwood, MI 49508-5273
Professional details: NPI, taxonomy & registry record
NPI1275608234
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QX0100X
Enumeration date
Nov 22, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QX0100X · Primary

License reported: 4301036490 MI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4433 Breton Rd Se
Kentwood, MI 49508-5273
Phone
(616) 281-6000
Mailing address
2683 CHATHAM WOODS DR SE

GRAND RAPIDS, MI 495466762
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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