Organization · Type 2 NPI

Saint Mary's Health Services

Geriatric Medicine (Internal Medicine) Physician · Grand Rapids, MI

NPI number 1063917425 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Call (616) 776-0682 Map

Fax (616) 685-1846

Mailing address

1900 44th St SE
Kentwood, MI 49508-5008

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002XNone listed
Internal Medicine Physician 207R00000XNone listed
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XNone listed
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

338 other providers at this address

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About NPI 1063917425

Saint Mary's Health Services's National Provider Identifier is 1063917425, issued on Mar 28, 2018. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Grand Rapids, MI. The record was last updated on May 5, 2026.