NPI 1003689183

Gavin O'Brien

Practitioner Physician Assistant Grand Rapids, MI

Practice location

Address: 770 Kenmoor Ave SE STE 100, Grand Rapids, MI 49546-8602
Phone: (616) 272-3533
Fax: (616) 259-4839
Mailing address: 801 Rosehill Rd, Jackson, MI 49202-1762

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003689183
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2023
Record last updated: 7 Apr 2026

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.