Individual provider · Type 1 NPI

Bryan Jon Pack, MD

Orthopaedic Surgery Physician · Grand Rapids, MI

NPI number 1295944239 Active

Practice location

350 Lafayette Ave SE, 4th Floor
Grand Rapids, MI 49503-4656

Mailing address

3565 Momentum Pl
Chicago, IL 60689-5335

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000X4301086174 (MI)
Orthopaedic Surgery Physician 207X00000X036-125552 (IL)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1295944239

Bryan Jon Pack, MD's National Provider Identifier is 1295944239, issued on May 22, 2007. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 21, 2014.