Rebecca A Vande Griend PA

NPI 1689684409 - Physician Assistant - 363AM0700X

NPI Details
NPI 1689684409
Gender Female
Enumeration Date 08/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3264 N EVERGREEN DR NE
GRAND RAPIDS MI, 49525-9746, US
Phone (616) 363-7272
Fax (616) 363-7290
Business Location
3264 N EVERGREEN DR NE
GRAND RAPIDS MI, 49525-9746, US
Phone (616) 363-7272
Fax (616) 363-7290
Toxanomy
Taxonomy Code 363AM0700X
License State Michigan
License Number 5601003650
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According to our database, Rebecca A Vande Griend PA NPI is 1689684409, taxonomy code is 363AM0700X and license number is 5601003650, license state is located at Michigan. Rebecca A Vande Griend PA physically located at 3264 N Evergreen Dr Ne, Grand Rapids MI, 49525-9746. NPI Number Rebecca A Vande Griend PA has the Individual type.

1689684409 NPI number is provided on an as is basis without warranty of any kind. 1689684409 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca A Vande Griend PA are for informational purposes only.