Individual provider · Type 1 NPI

Jamie Michelle Bray, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1609964691 Active

Practice location

145 Michigan St NE, Ste. 3100
Grand Rapids, MI 49503-2562

Fax (616) 954-2116

Mailing address

5800 Foremost Dr SE Ste 300
Grand Rapids, MI 49546-7062

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003679 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1609964691

Jamie Michelle Bray, PA-C's National Provider Identifier is 1609964691, issued on Oct 11, 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 Mar 13, 2020.