OrganizationActive
Gerontology Network
NPI 1649306879 · Geriatric Psychiatry Physician · Grand Rapids, MI
Provider details
- NPI number
- 1649306879
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Hartwig, President Ceo(616) 456-6135
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Case Management Agency251B00000X
Agencies
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
516 Cherry St Se
Grand Rapids, MI 49503-4702
Phone: (616) 456-6135
Approximate (ZIP-level) locationGet directions
Mailing address
516 Cherry St Se
Grand Rapids, MI 49503-4702
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2008-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.