# WEST MICHIGAN SURGERY CENTER OF GRAND RAPIDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255221297
- **Authorized official:** DR. GIRISH JUNEJA MD (PRESIDENT)
- **Authorized official phone:** (616) 460-3164

## Contact information

- **Practice address:** 2505 E PARIS AVE SE STE 140, GRAND RAPIDS, MI 49546-2436
- **Practice address phone:** (616) 317-7030
- **Practice address fax:** (855) 538-1627
- **Mailing address:** 2505 E PARIS AVE SE STE 140, GRAND RAPIDS, MI 49546-2436
- **Mailing address phone:** (616) 317-7030
- **Mailing address fax:** (855) 538-1627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QE0800X | Endoscopy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/09/2025
- **Last updated:** 11/14/2025
