MEDICARE: MR. CYPRIAN A GARDINE III MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	4301106353	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659583888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CYPRIAN A GARDINE III MD

Provider Business Mailing Address
First Line	:	1900 44TH ST SE
Second Line	:
City	:	KENTWOOD
State	:	MI
Zip	:	49508-5008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 LAFAYETTE AVE SE
Second Line	:	STE 2045
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-4692
Country	:	US
Telephone Number	:	616-685-3098
Fax Number	:	616-685-3095

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	12/15/2021

Similar Medicare Providers

1639805518 — KANE CHARLES MARCINIAK PHARMD
Practice Location Address:

300 LAFAYETTE AVE SE
GRAND RAPIDS, MI
49503-4692

Practice Phone: 616-685-6105
Practice Fax:

1275589863 — EUGENE TAY MD
Practice Location Address:

300 LAFAYETTE AVE SE
GRAND RAPIDS, MI
49503-4692

Practice Phone: 616-685-6922
Practice Fax: 616-685-5101

1811000953 — DR. NIRALI BORA M.D.
Practice Location Address:

300 LAFAYETTE AVE SE , SUITE 4000
GRAND RAPIDS, MI
49503-4692

Practice Phone: 616-685-6922
Practice Fax: 616-685-5101

1669556783 — KRISTA K. MACDONALD PA-C
Practice Location Address:

300 LAFAYETTE AVE SE # 220
GRAND RAPIDS, MI
49503-4692

Practice Phone: 616-685-5170
Practice Fax:

1275669608 — MR. SHENG AN YANG LMSW
Practice Location Address:

300 LAFAYETTE AVE SE STE 4000
GRAND RAPIDS, MI
49503-4692

Practice Phone: 616-685-6922
Practice Fax: 616-685-5101

1477726917 — DR. JOSEFINA DIAZ SHEN M.D.
Practice Location Address:

300 LAFAYETTE AVE SE , STE 2045
GRAND RAPIDS, MI
49503-4692

Practice Phone: 616-685-3098
Practice Fax: 616-685-3095

Directions to “ MR. CYPRIAN A GARDINE III MD” 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.