Individual provider · Type 1 NPI

Barbara B. Blakely, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1649255563 Active

Practice location

100 Michigan St NE # MC9014
Grand Rapids, MI 49503-2560

Fax (616) 267-7137

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601002495 (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 1649255563

Barbara B. Blakely, PA-C's National Provider Identifier is 1649255563, issued on Dec 14, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 4, 2021.