OrganizationActive
Gerontology Network
NPI 1104952332 · Geriatric Psychiatry Physician · Grand Rapids, MI
Provider details
- NPI number
- 1104952332
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Thomas Hartwig, President Ceo
Practice location
800 E Beltline Ave Ne
Grand Rapids, MI 49525-5848
Phone: (616) 456-6135
Mailing address
516 Cherry St Se
Grand Rapids, MI 49503-4702
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2008-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.