Healthcare Provider Details

I. General information

NPI: 1538016241
Provider Name (Legal Business Name): JEAN TALSMA DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1676 VIEWPOND DR SE STE 100
GRAND RAPIDS MI
49508-4994
US

IV. Provider business mailing address

PO BOX 120215
GRAND RAPIDS MI
49528-0104
US

V. Phone/Fax

Practice location:
  • Phone: 616-287-0323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEAN TALSMA
Title or Position: OWNER
Credential: DO
Phone: 616-287-0323