Individual
MR. PATRICK ADAM STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0857
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0857
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301513997
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301513997
MI MEDICAL LICENSE
MI
01
—
5315255630
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
04/20/2022
Last updated
03/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us