Nathan David Griswold PAC

NPI 1336305150 - Physician Assistant - 363A00000X

NPI Details
NPI 1336305150
Gender Male
Enumeration Date 07/31/2008
Last Updated 02/04/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
100 MICHIGAN ST NE
SUITE 8830
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 459-7258
Fax (616) 459-5215
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 5601005279
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According to our database, Nathan David Griswold PAC NPI is 1336305150, taxonomy code is 363A00000X and license number is 5601005279, license state is located at Michigan. Nathan David Griswold PAC physically located at 100 Michigan St Ne, Grand Rapids MI, 49503-2560. NPI Number Nathan David Griswold PAC has the Individual type.

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1336305150 NPI number is provided on an as is basis without warranty of any kind. 1336305150 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan David Griswold PAC are for informational purposes only.