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Search › Michigan › 104100000X

Brent Doornbos, LLMSW

NPI 1295441707 · on the registry since 2023

Practice

Address
300 68th St Se
Grand Rapids, MI 49548
Phone
(616) 455-5000
Fax
(616) 455-5960
Organisation at this address
Janus Rx Llc
Emergency Physicians Inc
Emergency Physicians Inc Pc
Pine Rest Christian Mental Health Services
Pine Rest Christian Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
661

Additional practice sites

  • 1440 Fuller Ave Se, Grand Rapids, MI
  • Detroit Wayne Integrated Health Network, Detroit, MI

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
171400000X
175T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan