Individual provider · Type 1 NPI

Andrew Hallett, MD

Surgery Physician · Grand Rapids, MI

NPI number 1477006591 Active

Practice location

4100 Lake Dr SE Ste 205
Grand Rapids, MI 49546-8292

Call (616) 267-7100 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X4301512108 (MI)
Surgery Physician Primary 208600000X9271076 (ID)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgery Physician 208600000XMT213958 (PA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1477006591

Andrew Hallett, MD's National Provider Identifier is 1477006591, issued on Jul 25, 2016. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 28, 2025.