Individual provider · Type 1 NPI

Halli Disbrow

Physician Assistant · Grand Rapids, MI

NPI number 1215510862 Active · reactivated Mar 7, 2025

Practice location

3500 Lake Dr SE
Grand Rapids, MI 49546-4310

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	5601013927 (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 1215510862

Halli Disbrow's National Provider Identifier is 1215510862, issued on May 2, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 7, 2026.