IndividualActive
John Anderson, MD
NPI 1700874294 · Orthopaedic Foot and Ankle Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1700874294
- Entity type
- Individual
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301070607 (MI)
Practice location
1111 Leffingwell Ave Ne
Ste 100
Grand Rapids, MI 49525
Phone: (616) 459-7101
Fax: (616) 464-6170
Mailing address
1111 Leffingwell Ave Ne
Grand Rapids, MI 49525
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2013-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.