Individual provider · Type 1 NPI

Brent L. Card, P.A.-C.

Surgical Physician Assistant · Grand Rapids, MI

NPI number 1700991858 Active

Practice location

1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X363A00000X (IL)
Surgical Physician Assistant Primary 363AS0400X5601003040 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1700991858

Brent L. Card, P.A.-C.'s National Provider Identifier is 1700991858, issued on Aug 20, 2006. 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 Apr 29, 2014.