NPI 1053694976

Jason Dipman, AAC

Practitioner Anesthesiologist Assistant Grand Rapids, MI

Practice location

Address: 100 Michigan St NE, Grand Rapids, MI 49503
Phone: (616) 364-4200
Mailing address: 3333 Evergreen Dr NE, Grand Rapids, MI 49525-9493

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 1227 (MI)

Other Anesthesiologist Assistant providers in Michigan →

Specialist

Other Service Providers Taxonomy 174400000X Licence 2011032475 (MO)

Other Specialist providers in Michigan →

Registry record

NPI: 1053694976
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2011
Record last updated: 13 Dec 2018

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.