Search › Michigan › 1041C0700X

Giovanni Hernandez

NPI 1669096046 · on the registry since 2020

Practice

Address
1939 Division Ave. S
Grand Rapids, MI 49507
Phone
(616) 247-3815
Fax
(616) 245-0450
Organisation at this address
Family Outreach Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Additional practice sites

  • 790 Fuller Ave Ne, Grand Rapids, MI

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
AL, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-26

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