Individual provider · Type 1 NPI
Evan Claggett, DO
Student in an Organized Health Care Education/Training Program · Grand Rapids, MI
NPI number
1205620994
Active
Practice location
25 Michigan St NE Ste 2100
Grand Rapids, MI 49503-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 5151017361 (MI) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1205620994
Evan Claggett, DO's National Provider Identifier is 1205620994, issued on Apr 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 19, 2025.