Individual provider · Type 1 NPI

Frederick P. Mollenkopf Jr., PA

Surgical Physician Assistant · Lansing, MI

NPI number 1689673311 Active

Practice location

405 W Greenlawn Ave, Ste 400
Lansing, MI 48910-2898

Call (517) 483-7550 Map

Fax (517) 882-4144

Mailing address

3500 S Cedar St, Ste 116
Lansing, MI 48910-4699

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601003067 (MI)

Surgical Physician Assistant: Definition to come...

48 other providers at this address

About NPI 1689673311

Frederick P. Mollenkopf Jr., PA's National Provider Identifier is 1689673311, issued on Jul 15, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lansing, MI. The record was last updated on Jul 13, 2026.