OrganizationActive
Lafayette Medical Specialists PLLC
NPI 1598437642 · Addiction Medicine (Internal Medicine) Physician · Marne, MI
Provider details
- NPI number
- 1598437642
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alec Green, Executive Vice President(616) 446-6413
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
15146 16th Ave
Marne, MI 49435-9605
Phone: (616) 288-6970
Approximate (ZIP-level) locationGet directions
Mailing address
15146 16th Ave
Marne, MI 49435-9605
Other names (DBA / former)
- Doing business as
- Sanford Medical Specialists PLLC
Additional practice locations (1)
- 221 John St NeGrand Rapids, MI 49503-3237Phone: (844) 776-9651Fax: (616) 341-6017
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.