Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nephrology Consultants of Grand Rapids PC

Organization Nephrology Physician · NPI 1528254877

Nephrology Consultants of Grand Rapids PC provides Nephrology Physician services in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

4070 Lake Dr SE Ste 201
Grand Rapids, MI 49525 Not confirmed with CMS for 18 years — call before visiting
Phone: (616) 774-8200
Fax: (616) 774-0304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence R0044045 (MI)

Record details

NPI number1528254877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Tuck — Manager Billing · (616) 866-2539
NPI enumeratedSeptember 20, 2007
Last updated in NPPESSeptember 26, 2008
Mailing addressPo Box 150185, Grand Rapids, MI 49515-0185

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