Individual provider · Type 1 NPI

Courtney T. Vanderbroek, PA

Physician Assistant · Kalamazoo, MI

NPI number 1669014130 Active

Practice location

601 John St Ste M-124
Kalamazoo, MI 49007-5377

Mailing address

3902 Mayfield Ave NE Apt 2B
Grand Rapids, MI 49525-6601

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601009609 (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 1669014130

Courtney T. Vanderbroek, PA's National Provider Identifier is 1669014130, issued on Oct 16, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kalamazoo, MI. The record was last updated on Dec 17, 2020.