Individual provider · Type 1 NPI

Ross Reynolds, PA

Physician Assistant · Grand Rapids, MI

NPI number 1104247410 Active

Practice location

4100 Lake Dr SE Ste 205
Grand Rapids, MI 49546-8292

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Other practice locations

  • 1700 Clinton St, Muskegon, MI 49442-5502 · (231) 728-4601

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006902 (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…

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About NPI 1104247410

Ross Reynolds, PA's National Provider Identifier is 1104247410, issued on Jan 5, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 22, 2021.