Individual provider · Type 1 NPI

Eyoome K. Agbley, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1457724965 Active

Practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Call (616) 363-7272 Map

Fax (616) 361-5828

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601007847 (MI)
Physician Assistant 363A00000X1001984A (IN)

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 1457724965

Eyoome K. Agbley, PA-C's National Provider Identifier is 1457724965, issued on Nov 5, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 18, 2025.