Organization · Type 2 NPI
Pennock State Street Center
Medical Physician Assistant · Hastings, MI
NPI number
1932490885
Active
Practice location
1108 W State St
Hastings, MI 49058-9711
Mailing address
4100 Embassy Dr SE, Suite 200
Grand Rapids, MI 49546-2416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Medical Physician Assistant: Definition to come...
11 other providers at this address
- Pennock HospitalRural Health Clinic/Center Hastings, MI NPI 1396190138
- Pennock Hospital Board of TrusteesFamily Medicine Physician Hastings, MI NPI 1508225632
- Womens Health First PCObstetrics & Gynecology Physician Hastings, MI NPI 1659526481
- Adam Farrell, PA-CPhysician Assistant Hastings, MI NPI 1134196272
- Alia AnthonyNurse Practitioner Hastings, MI NPI 1023557634
- Amber Juhl, NPFamily Nurse Practitioner Hastings, MI NPI 1568933646
- Laura J. Kota, MDObstetrics & Gynecology Physician Hastings, MI NPI 1649299223
- Leon Vanderlaan, PA-CPhysician Assistant Hastings, MI NPI 1275589913
- Renee BirchmeierNurse Practitioner Hastings, MI NPI 1780104182
- Scott B. Brasseur, MDInternal Medicine Physician Hastings, MI NPI 1992709562
- Tiffany R. Jackson, NPNurse Practitioner Hastings, MI NPI 1093066086
About NPI 1932490885
Pennock State Street Center's National Provider Identifier is 1932490885, issued on Apr 27, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hastings, MI. The record was last updated on Apr 2, 2019.