NPI 1003202623

Alexandra Bengel, PAC

Practitioner Surgical Physician Assistant Grand Rapids, MI

Practice location

Address: 145 Michigan St NE STE 5500, Grand Rapids, MI 49503-2565
Phone: (616) 267-8540
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 5601007303 (MI)

Other Physician Assistant providers in Michigan →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601007303 (MI)

Registry record

NPI: 1003202623
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2015
Record last updated: 5 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.