Independent site. Not affiliated with, endorsed by, or connected to DoD, DHA, or the official TRICARE program. Visit the official TRICARE site.

HomeProvidersADDRESS HEALTHCARE OF MICHIGAN PLLC

Internal Medicine

ADDRESS HEALTHCARE OF MICHIGAN PLLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1043075294 · enumerated 2024-02-16 · record updated 2025-05-05. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: JEFFREY WACKSMAN, Authorized Official · (616) 366-4234

Other names: ADDRESS HEALTHCARE, ADDRESS HEALTHCARE OF MICHIGAN

Addresses and phones

Mailing address 3940 PENINSULAR DRIVE SE, STE 230, GRAND RAPIDS, MI, 49546-2442 (616) 366-4234 Fax (855) 548-4481 Google Maps Apple Maps OpenStreetMap
Practice location 600 MONROE AVENUE NW, STE 104, GRAND RAPIDS, MI, 49503-1470 (616) 366-4234 Fax (855) 548-4481 Google Maps Apple Maps OpenStreetMap

Specialties

Optometrist 152W00000X
Internal Medicine, Hospice and Palliative Medicine 207RH0002X
2084P0805X 2084P0805X
Podiatrist, Foot & Ankle Surgery 213ES0103X
Nurse Practitioner, Adult Health 363LA2200X
Internal Medicine 207R00000X · Primary

In this directory

MI Kent County Grand Rapids Internal Medicine

Locations and evidence

Practice location GRAND RAPIDS, MI, 495031470
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.