Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MITCHELL JOHN FOGAL, PA-C
ActiveMR. MITCHELL JOHN FOGAL, PA-C is a Physician Assistant healthcare provider located in HOLLAND, Michigan. NPI 1407101538 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HOLLAND, MI
Registration Details
- NPI Number
- 1407101538
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2012 (14.07078909337 yrs)
- Last Updated
- Oct 10, 2025
- License
-
5601011747 (MI)
Practice Information
- Address
-
370 N 120TH AVE STE 20HOLLAND, MI, 494242196Browse MI providers · Browse ZIP 49424
- Phone
- 6163965855
- Fax
- 8775920688
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HOLLAND, MI
| Name | Credential | NPI |
|---|---|---|
| CONNIE M ANDERSON | PA-C | 1124012919 |
| THOMAS GERARD WOLF | PA-C | 1629059480 |
| KAREN ARDEL MONTERUSSO | PA | 1245204965 |
| AMANDA MISHLER | PA-C | 1467499111 |
| DONNA JOAN WHITE | PA-C | 1487693669 |
| ANGELA BURCH | PA-C | 1124069497 |
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.