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Jeremy Petrous, DO — NPI 1639584196, Grand Rapids, MI | NPI Central

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NPI 1639584196

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Jeremy Petrous, DO

NPI 1639584196 · Sleep Medicine (Internal Medicine) Physician · Grand Rapids, MI

Provider details

NPI number: 1639584196
Entity type: Individual
Primary specialty: Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: 5101021240 (MI)

Specialties & taxonomies

Sleep Medicine (Internal Medicine) PhysicianPrimary207RS0012XLicense 5101021240 (MI)
Allopathic & Osteopathic Physicians
Psychiatry Physician2084P0800XLicense 5101021240 (MI)
Allopathic & Osteopathic Physicians

Practice location

4100 Lake Dr Se Ste 200

Grand Rapids, MI 49546

Phone: (616) 391-3759

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

100 Michigan St Ne # Mc845

Grand Rapids, MI 49503-2560

Additional practice locations (1)

1 Medical Dr
Lebanon, NH 03756
Phone: (603) 650-3156

Registry dates

Enumerated: 2014-06-24
Last updated: 2021-02-25
Certified: 2021-02-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.