IndividualActive
Brian Kreisman, PHD
NPI 1780321679 · Audiologist · Grand Rapids, MI
Provider details
- NPI number
- 1780321679
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 1601000622 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2907 Breton Rd Se
Grand Rapids, MI 49512-1745
Phone: (616) 914-2020
Approximate (ZIP-level) locationGet directions
Mailing address
2848 Belleglade Ct Se
Grand Rapids, MI 49546-8011
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2023-07-30
- Certified
- 2023-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.