OrganizationActive
Ado Medical of Kansas, PA
NPI 1093577108 · Family Medicine Physician · Grandville, MI
Provider details
- NPI number
- 1093577108
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tim Gutwald, General Counsel(616) 498-8102
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Practice location
4555 Wilson Ave Sw Ste 1
Grandville, MI 49418-2370
Phone: (616) 229-2935
Approximate (ZIP-level) locationGet directions
Mailing address
625 Kenmoor Ave Se Ste 301
Grand Rapids, MI 49546-2395
Other names (DBA / former)
- Doing business as
- Adhd Online
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.