Individual provider · Type 1 NPI

Gabriel J. Sidor

Medical Physician Assistant · Muskegon, MI

NPI number 1790473569 Active

Practice location

1500 E Sherman Blvd
Muskegon, MI 49444-1849

Call (231) 672-3883 Map

Fax (231) 672-3973

Mailing address

6348 Spruce Ridge Rd
Bear Lake, MI 49614-9703

Other practice locations

  • 6348 Spruce Ridge Rd, Bear Lake, MI 49614-9703 · (231) 383-1225

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601012514 (MI)

Medical Physician Assistant: Definition to come...

297 other providers at this address

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About NPI 1790473569

Gabriel J. Sidor's National Provider Identifier is 1790473569, issued on Apr 28, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Muskegon, MI. The record was last updated on Jul 21, 2025.