Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creston Medical Service, PC

Organization Family Medicine Physician · NPI 1043653082

Creston Medical Service, PC provides Family Medicine Physician services in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1330 Plainfield Ave NE
Grand Rapids, MI 49505-5091 Not confirmed with CMS for 13 years — call before visiting
Phone: (616) 776-1275
Fax: (616) 776-3713
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301029675 (MI)

Record details

NPI number1043653082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter App — President · (616) 776-1275
NPI enumeratedApril 9, 2013
Last updated in NPPESApril 9, 2013
Mailing addressPo Box 264, Grand Rapids, MI 49501-0264

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