Individual provider · Type 1 NPI

Evan Gerondale, PA

Physician Assistant · Grand Rapids, MI

NPI number 1336730662 Active

Practice location

1740 E Paris Ave SE
Grand Rapids, MI 49546-6204

Call (616) 949-5600 Map

Fax (616) 949-6571

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010425 (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 1336730662

Evan Gerondale, PA's National Provider Identifier is 1336730662, issued on Jan 29, 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 28, 2026.