Individual provider · Type 1 NPI

Timothy J. Hunter, PAC

Surgical Physician Assistant · Grand Rapids, MI

NPI number 1639166697 Active

Practice location

1111 Leffingwell Ave NE, Ste 100
Grand Rapids, MI 49525-6406

Fax (616) 464-6170

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601002881 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1639166697

Timothy J. Hunter, PAC's National Provider Identifier is 1639166697, issued on Oct 4, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 9, 2013.