Individual provider · Type 1 NPI
Gregory Symenow, PA-C
Medical Physician Assistant · Port Huron, MI
NPI number
1245516459
Active
Practice location
3550 Pine Grove Ave
Port Huron, MI 48060-1944
Mailing address
12025 Shortleaf Ln
Rockville, VA 23146-1859
Other practice locations
- 600 W North Ave, Melrose Park, IL 60160-1671 · (833) 620-1234
- 109 Genesee St, Oneida, NY 13421-2703 · (833) 620-1234
- 4400 N High St, Columbus, OH 43214-2635 · (833) 620-1234
- 10 N Nansemond St, Richmond, VA 23221-2768 · (703) 969-9199
- 1313 W Mcgalliard Rd, Muncie, IN 47303-1774 · (765) 216-3115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 0010-10218 (NC) |
| Physician Assistant | 363A00000X | 5601010944 (MI) |
| Physician Assistant | 363A00000X | 085.008777 (IL) |
| Physician Assistant | 363A00000X | 027730 (NY) |
| Physician Assistant | 363A00000X | 50.007382 (OH) |
| Medical Physician Assistant Primary | 363AM0700X | 0110003771 (VA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Port Huron
- Salwa Wadud Choudhury, PA-CMedical Physician Assistant Port Huron, MI NPI 1003325598
- Adam J. Hoffman, PA-CMedical Physician Assistant Port Huron, MI NPI 1558340315
- Katherine Ann BlackwellMedical Physician Assistant Port Huron, MI NPI 1942570973
- Kathryn Cpak, PA-CMedical Physician Assistant Port Huron, MI NPI 1992008759
About NPI 1245516459
Gregory Symenow, PA-C's National Provider Identifier is 1245516459, issued on Nov 1, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Huron, MI. The record was last updated on Dec 29, 2022.