Individual provider · Type 1 NPI
Evan Steven Gravedoni, PA-C
Physician Assistant · Johannesburg, MI
Practice location
10854 M 32 E
Johannesburg, MI 49751-9622
Fax (989) 318-4606
Mailing address
PO Box 427
Hillman, MI 49746-0427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601012281 (MI) |
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…
3 other providers at this address
About NPI 1083326557
Evan Steven Gravedoni, PA-C's National Provider Identifier is 1083326557, issued on Dec 15, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johannesburg, MI. The record was last updated on Oct 7, 2026.