IndividualActive
Charles Gibson, M.D
NPI 1740596402 · Surgical Critical Care Physician · Grand Rapids, MI
Provider details
- NPI number
- 1740596402
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 4301096520 (MI)
Practice location
221 Michigan St Ne Ste 400
Grand Rapids, MI 49503-2543
Phone: (616) 486-9600
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2010-08-19
- Last updated
- 2021-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.