IndividualActive
Ai Yamasaki, MD
NPI 1376105122 · Pediatric Hospice and Palliative Medicine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1376105122
- Entity type
- Individual
- Primary specialty
- Pediatric Hospice and Palliative Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301506968 (MI)
Practice location
25 Michigan St Ne Ste 2100
Grand Rapids, MI 49503-2526
Phone: (616) 391-8842
Fax: (616) 391-2978
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2019-07-02
- Last updated
- 2026-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.