NPI 1316586381

Keith Minbiole

Practitioner Anesthesiologist Assistant Grand Rapids, MI

Practice location

Address: 100 Michigan St NE, Grand Rapids, MI 49503-2560
Phone: (616) 364-4200
Fax: (616) 364-7347
Mailing address: 3333 Evergreen Dr NE, Grand Rapids, MI 49525-9493

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 32397593 (MI)

Other Anesthesiologist Assistant providers in Michigan →

Registry record

NPI: 1316586381
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2019
Record last updated: 23 Dec 2019

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.