MEDICARE: KRISTEN DEAM PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	207Q00000X	Family Medicine Physician	5601007300	MI

General Provider Information

NPI Number	:	1063803377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN DEAM PA-C

Provider Business Mailing Address
First Line	:	1401 DIAMOND AVE NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49505-5266
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4466 HERITAGE CT SW
Second Line	:
City	:	GRANDVILLE
State	:	MI
Zip	:	49418-2383
Country	:	US
Telephone Number	:	616-301-0808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2015
Last Update Date	:	12/18/2025

Similar Medicare Providers

1518967660 — ANN M AUBURN D.O.
Practice Location Address:

4466 HERITAGE CT SW STE D
GRANDVILLE, MI
49418-2383

Practice Phone: 616-301-0808
Practice Fax: 616-301-7887

1871750505 — NATURAL HEALTH IMPROVEMENT CENTER PC
Practice Location Address:

4466 HERITAGE CT SW , SUITE D
GRANDVILLE, MI
49418-2383

Practice Phone: 616-301-0808
Practice Fax: 616-301-7887

1366991820 — MS. SARAH ROSE STEVENS FNPC
Practice Location Address:

4466 HERITAGE CT SW
GRANDVILLE, MI
49418-2383

Practice Phone: 616-301-0808
Practice Fax: 616-301-7887

1326902362 — ERIN LAMBRIGHT
Practice Location Address:

4301 CANAL AVE SW STE 201B
GRANDVILLE, MI
49418-2667

Practice Phone: 616-202-6560
Practice Fax:

1962141697 — MIKAELA RENEE ADKINS
Practice Location Address:

42 44TH ST SW
GRANDVILLE, MI
49418-2177

Practice Phone: 616-344-4508
Practice Fax:

1417528803 — HOPE LUNDE
Practice Location Address:

3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI
49418-1583

Practice Phone: 616-222-5300
Practice Fax:

Directions to “ KRISTEN DEAM PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.