Gregor F Bennett PA

NPI 1093828121 - Physician Assistant - 363A00000X

NPI Details
NPI 1093828121
Gender Male
Enumeration Date 08/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2332 ALPINE AVE NW
GRAND RAPIDS MI, 49544-1955, US
Phone (616) 391-6220
Fax
Business Location
100 MICHIGAN ST NE
MC 109 ATTN JULIE L
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601002104
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According to our database, Gregor F Bennett PA NPI is 1093828121, taxonomy code is 363A00000X and license number is 5601002104, license state is located at Michigan. Gregor F Bennett PA physically located at 2332 Alpine Ave Nw, Grand Rapids MI, 49544-1955. NPI Number Gregor F Bennett PA has the Individual type.

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1093828121 NPI number is provided on an as is basis without warranty of any kind. 1093828121 is maintained by the National Plan & Provider Enumeration System. The contents of Gregor F Bennett PA are for informational purposes only.