Individual provider · Type 1 NPI

Kristen Deam, PA-C

Family Medicine Physician · Grandville, MI

NPI number 1063803377 Active

Practice location

4466 Heritage Ct SW
Grandville, MI 49418-2383

Call (616) 301-0808 Map

Mailing address

1401 Diamond Ave NE
Grand Rapids, MI 49505-5266

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Family Medicine Physician Primary	207Q00000X	5601007300 (MI)

Family Medicine Physician: 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.

2 other providers at this address

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About NPI 1063803377

Kristen Deam, PA-C's National Provider Identifier is 1063803377, issued on Feb 9, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grandville, MI. The record was last updated on Dec 18, 2025.