John Bradley Budnick PAC

NPI 1336362185 - Physician Assistant - 363A00000X

NPI Details
NPI 1336362185
Gender Male
Enumeration Date 04/10/2007
Last Updated 02/25/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
300 68TH ST SE
GRAND RAPIDS MI, 49548-6927, US
Phone (616) 455-5000
Fax
Business Location
300 68TH ST SE
GRAND RAPIDS MI, 49548-6927, US
Phone (616) 455-5000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601003825
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According to our database, Mr. John Bradley Budnick PAC NPI is 1336362185, taxonomy code is 363A00000X and license number is 5601003825, license state is located at Michigan. John Bradley Budnick PAC physically located at 300 68th St Se, Grand Rapids MI, 49548-6927. NPI Number John Bradley Budnick PAC has the Individual type.

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1336362185 NPI number is provided on an as is basis without warranty of any kind. 1336362185 is maintained by the National Plan & Provider Enumeration System. The contents of John Bradley Budnick PAC are for informational purposes only.