Individual provider · Type 1 NPI

Samuel Alexander Merchun, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1093462202 Active

Practice location

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416

Call (616) 988-8220 Map

Mailing address

7160 Cuesta Way Dr NE
Rockford, MI 49341-9493

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1093462202

Samuel Alexander Merchun, PA-C's National Provider Identifier is 1093462202, issued on Mar 8, 2022. 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 Mar 8, 2022.