Eric S Hibma PA-C

NPI 1073608972 - Physician Assistant - 363A00000X

NPI Details
NPI 1073608972
Gender Male
Enumeration Date 10/04/2006
Last Updated 03/22/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
345 NAOMI ST
PLAINWELL MI, 49080-1257, US
Phone (269) 552-0100
Fax (269) 552-0111
Business Location
5943 STADIUM DR
STE 1
KALAMAZOO MI, 49009-3016, US
Phone (269) 552-2836
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601003874
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According to our database, Eric S Hibma PA-C NPI is 1073608972, taxonomy code is 363A00000X and license number is 5601003874, license state is located at Michigan. Eric S Hibma PA-C physically located at 345 Naomi St, Plainwell MI, 49080-1257. NPI Number Eric S Hibma PA-C has the Individual type.

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1073608972 NPI number is provided on an as is basis without warranty of any kind. 1073608972 is maintained by the National Plan & Provider Enumeration System. The contents of Eric S Hibma PA-C are for informational purposes only.