Michael Joel Grotenrath PA-C

NPI 1619144961 - Physician Assistant - 363AS0400X

NPI Details
NPI 1619144961
Gender Male
Enumeration Date 05/14/2008
Last Updated 05/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5325 ELLIOTT DR STE 102
YPSILANTI MI, 48197-8633, US
Phone (734) 712-8209
Fax (734) 712-8209
Business Location
632 HILLVIEW PL
ROCKFORD MI, 49341-1310, US
Phone (616) 560-5046
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Michigan
License Number 5601005245
Remove 1619144961 NPI Number
 

According to our database, Mr. Michael Joel Grotenrath PA-C NPI is 1619144961, taxonomy code is 363AS0400X and license number is 5601005245, license state is located at Michigan. Michael Joel Grotenrath PA-C physically located at 5325 Elliott Dr Ste 102, Ypsilanti MI, 48197-8633. NPI Number Michael Joel Grotenrath PA-C has the Individual type.

Sponsored links

1619144961 NPI number is provided on an as is basis without warranty of any kind. 1619144961 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Joel Grotenrath PA-C are for informational purposes only.