Individual provider · Type 1 NPI
Maurice Eugene Fongers Iii, PA-C
Physician Assistant · Greenville, MI
Practice location
707 S Greenville West Dr
Greenville, MI 48838-3514
Fax (616) 754-3828
Mailing address
100 Michigan St NE, MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601002820 (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 1790893014
Maurice Eugene Fongers Iii, PA-C's National Provider Identifier is 1790893014, issued on Aug 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenville, MI. The record was last updated on Mar 15, 2021.