Individual provider · Type 1 NPI

Gretchen S. Holt-Vredevoogd, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1366557688 Active

Practice location

145 Michigan St NE Ste 3410
Grand Rapids, MI 49503-2563

Call (616) 391-9945 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Other practice locations

  • 100 Michigan St NE, Grand Rapids, MI 49503-2560 · (616) 391-1680

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601004218 (MI)
Medical Physician Assistant Primary 363AM0700X5601004218 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1366557688

Gretchen S. Holt-Vredevoogd, PA-C's National Provider Identifier is 1366557688, issued on Aug 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 17, 2021.