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

Pediatric Surgeons of West Michigan PC

Organization Surgery Physician · NPI 1477516110

Pediatric Surgeons of West Michigan 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

330 Barclay NE Ste 202
Grand Rapids, MI 49503
Phone: (616) 458-1722
Fax: (616) 458-0061
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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 number1477516110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jamula — Practice Manager · (616) 458-1722
NPI enumeratedApril 11, 2006
Last updated in NPPESMarch 8, 2017
Mailing address330 Barclay Ne, Suite 202, Grand Rapids, MI 49503

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