DR. STEPHANIE WISE GROSVENOR


Address: 1919 Boston St Se, Grand Rapids, MI 49506-4160
Phone: 6162044552

DR. STEPHANIE WISE GROSVENOR (NPI# 1912193640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912193640
Entity Type Individual
Full Name DR. STEPHANIE WISE GROSVENOR
Credential D.O.
Practice Address 1919 Boston St Se
Grand Rapids
MI 49506-4160
Mailing Address 1727 Shawano Ave
Green Bay
WI 54303-3268
Practice Telephone 6162044552
Mailing Telephone 9208843590
Enumeration Date 2007-09-17
Last Update Date 2019-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 1132870 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 1919 BOSTON ST SE
City GRAND RAPIDS
State MI
Zip Code 49506-4160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215906219 Metropolitan Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered 1919 Boston St Se, Metropolitan Hospital, Grand Rapids, MI 49506-4160 2006-03-14
1124640073 Sarah Lynn Brown Physical Therapy Assistant 1919 Boston St Se, Grand Rapids, MI 49506-4185 2020-05-14
1417508094 Sarah Tenckinck Occupational Therapy Assistant 1919 Boston St Se, Grand Rapids, MI 49506-4185 2019-09-24
1346461860 Diana B Nordlund Emergency Medicine 1919 Boston St Se, Metro Health Hospital, Grand Rapids, MI 49506-4160 2007-05-01
1750500526 Metropolitan Anesthesia Associates, PC Nurse Anesthetist, Certified Registered 1919 Boston St Se, Grand Rapids, MI 49506-4160 2007-04-24
1326266404 Andrew C Michmerhuizen Emergency Medicine 1919 Boston St Se, Grand Rapids, MI 49506-4160 2007-04-23
1891911624 Ifedapo Michael Sonuga Pharmacist 1919 Boston St Se, Grand Rapids, MI 49506-4160 2007-04-18
1942425624 Lisa Marie Price Surgery 1919 Boston St Se, Grand Rapids, MI 49506-4160 2007-04-16
1629293816 Joy Vanregenmorter Pharmacist 1919 Boston St Se, Grand Rapids, MI 49506-4160 2007-04-14
1710051867 Marc A Hoesema Md PC Surgery 1919 Boston St Se, Grand Rapids, MI 49506-4160 2006-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356954705 Mckenna Shank Technician 1409 E Beltline Ave Se, Grand Rapids, MI 49506 2020-08-26
1750917969 Meghan Elizabeth Southwell Social Worker Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 2020-03-19
1356876536 Lisa Finkbeiner Chiropractor 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 2017-04-26
1447622964 Ashley Robinson Rehabilitation Practitioner 1490 East Beltline Ave, Grand Rapids, MI 49506 2015-10-23
1770951584 Stuart Segal Behavioral Analyst 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 2015-09-10
1922476373 Elizabeth Taylor Nurse Practitioner 2255 Wealthy Dr., Grand Rapids, MI 49506 2015-09-02
1780066092 Carole Walters Counseling Social Worker 959 Wealthy St. Se, Grand Rapids, MI 49506 2015-06-23
1053792697 Rosemary F. Trimpe Social Worker 4255 Kalamazoo Se, Grand Rapids, MI 49506 2015-06-09
1164809919 Gary James Rehabilitation Practitioner 1490 E. Beltline Se, Grand Rapids, MI 49506 2015-04-30
1275925315 Paul Cole Counselor 1101 Ball Ave. .se., Grand Rapids, MI 49506 2015-02-26
Find all providers in zip 49506

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184242760 Christian Healthcare Specialists, Inc. Obstetrics & Gynecology 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 2020-07-09
1265953335 Jacqueline Cornell Obstetrics & Gynecology 300 Lafayette Ave Se Ste 3200, Grand Rapids, MI 49503-4692 2017-06-29
1689056244 Stephanie Lynn Flermoen Obstetrics & Gynecology 3800 Lake Michigan Dr Nw Ste A, Grand Rapids, MI 49534-4583 2015-06-19
1770922064 Emma Giuliani Obstetrics & Gynecology 3230 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7047 2013-06-19
1861781783 Maggi Ann Forgue Obstetrics & Gynecology 245 Cherry St Se Ste 306, Grand Rapids, MI 49503 2011-03-31
1043545882 Mili Thakur Obstetrics & Gynecology 3230 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-7047 2009-10-13
1912105248 Erinn Marie Hoekstra Obstetrics & Gynecology 555 Midtowne St. Ne, Suite 400, Grand Rapids, MI 49503-5731 2007-07-09
1881891240 Samuel Dean Fox Obstetrics & Gynecology 330 Barclay Ave Ne Ste 102, Grand Rapids, MI 49503-2525 2007-06-29
1558568204 Knollcrestob-gyn Associates, P.C. Obstetrics & Gynecology 3300 Burton St Se, Grand Rapids, MI 49546-4398 2007-06-27
1134220270 Joseph Peter Talcott Obstetrics & Gynecology 1525 E Beltline Ave Ne Ste 203, Grand Rapids, MI 49525-4598 2006-09-25
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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