IndividualActive
Courtney Soubliere, DO
NPI 1275748121 · Endocrinology, Diabetes & Metabolism Physician · Grand Rapids, MI
Provider details
- NPI number
- 1275748121
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 5101015706 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 Lafayette Se
Ste 2045
Grand Rapids, MI 49503
Phone: (616) 685-3098
Fax: (616) 685-3095
Approximate (ZIP-level) locationGet directions
Mailing address
245 State St Se
Grand Rapids, MI 49503
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2021-12-10
- Certified
- 2021-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.