Individual provider · Type 1 NPI
James Dernocoeur, PA
Medical Physician Assistant · Grand Rapids, MI
NPI number
1083609374
Active
Practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
PO Box Q
Grand Rapids, MI 49501-4917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 5601002553 (MI) |
| Medical Physician Assistant Primary | 363AM0700X | 5601002553 (MI) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Grand Rapids
- Scott Charles Lawrence, PA-CMedical Physician Assistant Grand Rapids, MI NPI 1003830225
- Jill Marie-Ellis Schmidt, PA-CMedical Physician Assistant Grand Rapids, MI NPI 1013056464
- Alana Marie Kugelard, PAMedical Physician Assistant Grand Rapids, MI NPI 1013723774
- Dianne V. Strauss, PA-CMedical Physician Assistant Grand Rapids, MI NPI 1013936855
- Delmer E. Garcia, PA-CMedical Physician Assistant Grand Rapids, MI NPI 1033300645
- Marc Allen Bush, PAMedical Physician Assistant Grand Rapids, MI NPI 1043391154
- Danielle Marie Piippo, PA-CMedical Physician Assistant Grand Rapids, MI NPI 1043546344
- Taylor Dillman, PAMedical Physician Assistant Grand Rapids, MI NPI 1043754286
About NPI 1083609374
James Dernocoeur, PA's National Provider Identifier is 1083609374, issued on Sep 13, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 11, 2011.