Mary Norman Fregene PA

NPI 1639361884 - Physician Assistant - 363A00000X

NPI Details
NPI 1639361884
Gender Female
Enumeration Date 08/13/2007
Last Updated 01/11/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
588 E LAKEWOOD BLVD
2ND FLOOR
HOLLAND MI, 49424-2023, US
Phone (616) 494-5810
Fax
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601005017
Remove 1639361884 NPI Number
 

According to our database, Mary Norman Fregene PA NPI is 1639361884, taxonomy code is 363A00000X and license number is 5601005017, license state is located at Michigan. Mary Norman Fregene PA physically located at 588 E Lakewood Blvd, Holland MI, 49424-2023. NPI Number Mary Norman Fregene PA has the Individual type.

Sponsored links

1639361884 NPI number is provided on an as is basis without warranty of any kind. 1639361884 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Norman Fregene PA are for informational purposes only.