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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMES DERNOCOEUR, PA

Active

JAMES DERNOCOEUR, PA is a Medical Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1083609374 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1083609374
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2005 (20.876110449505 yrs)
Last Updated
Aug 11, 2011
Licenses
5601002553 (MI)
5601002553 (MI)

Practice Information

Address
200 JEFFERSON AVE SE
GRAND RAPIDS, MI, 495034502
Browse MI providers · Browse ZIP 49503
Phone
8009686866
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MR. STEPHEN PAUL DUCHEMIN PA-C 1902805104
MR. RICHARD RAY JONES PA-C 1144229048
SUSANNE PETTIGREW PA-C 1780686550
WILLIAM G BRINKMEIER PAC 1437151834
JILL A NOACK PA C 1891788261
MARGUERITE B SOWERS PA-C 1063406841
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.