NPI 1083133425

Michelle Berry, PAC

Practitioner Physician Assistant Grandville, MI

Practice location

Address: 4211 Parkway Place Dr SW, Grandville, MI 49418-2695
Phone: (616) 222-3700
Mailing address: 300 68th St SE, Grand Rapids, MI 49548-6927

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601008393 (MI)

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Registry record

NPI: 1083133425
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2017
Record last updated: 9 Jan 2024

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.