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

Grand Rapids Vein Clinic PC

Organization Surgery Physician · NPI 1366540064

Grand Rapids Vein Clinic PC provides Surgery Physician services in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006
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

1720 Michigan St NE
Grand Rapids, MI 49503-2018 Not confirmed with CMS for 18 years — call before visiting
Phone: (616) 454-8442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1366540064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Marogil — Physician · (616) 454-8442
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 7, 2007
Mailing address1720 Michigan St Ne, Grand Rapids, MI 49503-2018

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