OrganizationActive
Academic Surgical Associates, PLLC
NPI 1114139045 · Surgical Oncology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1114139045
- Entity type
- Organization
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- David Scheeres, President
Practice location
1000 E Paris Ave Se
Suite 150
Grand Rapids, MI 49546-3691
Phone: (616) 977-6243
Fax: (616) 977-0396
Mailing address
1000 E Paris Ave Se
Grand Rapids, MI 49546-3691
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2007-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.