Individual provider · Type 1 NPI

Shana Goetting Broxup, PA

Physician Assistant · Grand Rapids, MI

NPI number 1326715202 Active

Practice location

3230 Eagle Park Dr NE Ste 100
Grand Rapids, MI 49525-7047

Call (616) 988-2229 Map

Fax (616) 988-2010

Mailing address

8550 Mountain Pine Ln
Kalamazoo, MI 49009-4992

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010535TMP21 (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 1326715202

Shana Goetting Broxup, PA's National Provider Identifier is 1326715202, issued on Aug 27, 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 Aug 27, 2021.