OrganizationActive
Grand Rapids Thoracic Surgery, PLLC
NPI 1336504760 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1336504760
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lourens Willekes, Owner(616) 259-7341
- License
- 4301104138 (MI)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 4301104138 (MI)
Allopathic & Osteopathic Physicians
Practice location
4500 Cascade Rd Se
Suite 210
Grand Rapids, MI 49546-3665
Phone: (616) 259-7341
Fax: (616) 259-7642
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Cascade Rd Se
Grand Rapids, MI 49546-3665
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2015-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.