OrganizationActive
Michigan Orthopaedics and Sports Medicine, PC
NPI 1932174109 · Sports Medicine (Orthopaedic Surgery) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1932174109
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle Randall, President(616) 451-9925
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2911 Knapp St Ne
Suite a
Grand Rapids, MI 49525
Phone: (616) 451-9925
Fax: (616) 451-9896
Approximate (ZIP-level) locationGet directions
Mailing address
2911 Knapp St Ne
Grand Rapids, MI 49525
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2012-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.