Individual provider · NPI-1

Dr. Kirk Joseph Agerson, MD

Family Medicine · Grand Rapids, MI

NPI number1245226380
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1245226380
Entity type
Individual (NPI-1)
Name
Dr. Kirk Joseph Agerson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 23, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4301041396MIYes

Practice location

2849 Michigan St Ne
Suite 102
Grand Rapids, MI 49506-1216

Phone 616-285-6450 · Fax 616-285-6455

Mailing address

2849 Michigan St Ne
Suite 102
Grand Rapids, MI 49506-1216

Phone 616-285-6450 · Fax 616-285-6455

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