Organization
DR FRED PLLC
Active
Other names
MI Partner Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRIC REYELTS MD (PRESIDENT / CMO)
(616) 320-0096
Entity
Organization
Contact information
Practice address
2100 RAYBROOK ST SE, STE 100B, GRAND RAPIDS, MI 49546
(616) 320-0096
(616) 320-0097
Mailing address
743 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6045
(616) 320-0096
(616) 320-0097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
05/20/2024
Last updated
11/19/2025
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