IndividualActive
Daniel Watkins, MD
NPI 1114159415 · Pediatric Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1114159415
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301090553 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
330 Barclay Ave Ne
Suite 202
Grand Rapids, MI 49503-2556
Phone: (616) 458-1722
Fax: (616) 458-0061
Approximate (ZIP-level) locationGet directions
Mailing address
330 Barclay Ave Ne
Grand Rapids, MI 49503-2556
Registry dates
- Enumerated
- 2009-08-20
- Last updated
- 2019-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.