IndividualActive
Andrea Kuldanek, MD
NPI 1093720815 · Pediatric Rehabilitation Medicine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1093720815
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301041190 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
235 Wealthy St Se
Grand Rapids, MI 49503-5247
Phone: (616) 840-8005
Fax: (616) 840-9642
Approximate (ZIP-level) locationGet directions
Mailing address
3350 Eagle Park Dr Ne
Grand Rapids, MI 49525-4570
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2021-03-30
- Certified
- 2021-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.