Healthcare Provider Details

I. General information

NPI: 1326953290
Provider Name (Legal Business Name): KATHERINE SALOWITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 ALGER ST SE
GRAND RAPIDS MI
49507-3530
US

IV. Provider business mailing address

847 REYNARD ST SE
GRAND RAPIDS MI
49507-3611
US

V. Phone/Fax

Practice location:
  • Phone: 616-243-9515
  • Fax:
Mailing address:
  • Phone: 616-450-0161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704335475
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: