Search › Michigan › 163W00000X
Samantha Gorney
NPI 1972433647 · on the registry since 2026
Practice
- Address
- 107 Prospect Ave Se
Grand Rapids, MI 49503 - Phone
- (517) 879-9653
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-22
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