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

SAMUEL BOERCKEL, PA-C

Active

SAMUEL BOERCKEL, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1538801451 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1538801451
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2022 (4.1964019663138 yrs)
Last Updated
Aug 10, 2022
License
5601010664 (MI)

Practice Information

Address
2332 ALPINE AVE NW
GRAND RAPIDS, MI, 495441955
Browse MI providers · Browse ZIP 49544
Phone
6163916220
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. JACQUELINE S JOHANSON P.A.-C 1952304982
RENEE K SALYER P.A-C 1760481386
MR. JOHN C HENDRICKS PA-C 1992705610
CHERYL ANN SCHMITT PA-C 1851391031
LARA ELIZABETH EVANS PA-C 1356343933
BENJAMIN P LOYD PA-C 1174515167
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.