Individual provider · Type 1 NPI

Ellen Marie Kruggel, MD

Pediatrics Physician · Kentwood, MI

NPI number 1114917226 Active

Practice location

4600 Breton Rd SE, Suite 103
Kentwood, MI 49508-5262

Fax (616) 656-8601

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X4301067448 (MI)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1114917226

Ellen Marie Kruggel, MD's National Provider Identifier is 1114917226, issued on Oct 28, 2005. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Kentwood, MI. The record was last updated on Jul 13, 2026.