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

DANIELLE SUSAN DOUGLASS, PA-C

Active

DANIELLE SUSAN DOUGLASS, PA-C is a Surgical Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1811439763 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1811439763
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2016 (9.7948823440952 yrs)
Last Updated
Feb 2, 2017

Practice Information

Address
25 MICHIGAN ST NE
SUITE 6100
GRAND RAPIDS, MI, 495032515
Browse MI providers · Browse ZIP 49503
Phone
6162677900
Fax
6162677901
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
DENNIS C GREGORY PAC 1093702169
MICHAEL LEE BILLS PA-C 1366439432
JOSEPH N PIGORSH PAC 1043207111
MATTHEW P RICCI PAC 1215924386
TIMOTHY J HUNTER PAC 1639166697
DAVID M KAMINSKI PAC 1164419123
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.