Individual provider · Type 1 NPI

Jack Daniel Degroot, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1982950960 Active

Practice location

1545 68th St SE Ste 100
Grand Rapids, MI 49508-7896

Call (616) 267-7881 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006401 (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 1982950960

Jack Daniel Degroot, PA-C's National Provider Identifier is 1982950960, issued on Jul 27, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 14, 2022.