Search › Michigan › 1041C0700X
Gregory Deacon, LLP
NPI 1689740078 · on the registry since 2006
Practice
- Address
- 201 Sheldon Blvd Se
Grand Rapids, MI 49503 - Phone
- (616) 459-4212
- Fax
- (616) 774-9022
- Organisation at this address
- Touchstone Innovare
Touchstone Innovare
Cherry Street Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 103TB0200X
103TC0700X
103TC1900X
104100000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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