Individual provider · Type 1 NPI

Peter C. Theut, MD

Sports Medicine (Orthopaedic Surgery) Physician · Grand Rapids, MI

NPI number 1720076219 Active

Practice location

1111 Leffingwell Ave NE, Ste 100
Grand Rapids, MI 49525-6406

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	4301063761 (MI)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1720076219

Peter C. Theut, MD's National Provider Identifier is 1720076219, issued on Oct 10, 2005. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 12, 2013.