Individual provider · Type 1 NPI

Gavin O'Brien

Physician Assistant · Grand Rapids, MI

NPI number 1003689183 Active

Practice location

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602

Call (616) 272-3533 Map

Fax (616) 259-4839

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003689183

Gavin O'Brien's National Provider Identifier is 1003689183, issued on Nov 1, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 7, 2026.