Individual provider · Type 1 NPI

Catherine H. Hallenbeck, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1104838564 Active

Practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Call (616) 391-1680 Map

Mailing address

2537 Momentum Place
Chicago, IL 60689-5325

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004056 (MI)
Physician Assistant 363A00000X5601004056 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1104838564

Catherine H. Hallenbeck, PA-C's National Provider Identifier is 1104838564, issued on Aug 13, 2006. 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 Nov 3, 2011.