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James Dernocoeur, PA
Medical Physician Assistant in Grand Rapids, Michigan
NPI 1083609374

James Dernocoeur is a Medical Physician Assistant based in Grand Rapids, MI and is specialized in Medical. James Dernocoeur practices in Grand Rapids, MI and has the professional credentials of PA. The NPI Number for James Dernocoeur is 1083609374 and holds a License No. 5601002553 (Michigan).

The current practice location address for James Dernocoeur is 200 Jefferson Ave Se, Grand Rapids, MI and can be reached out via phone at 800-968-6866.

Location: 200 Jefferson Ave Se, Grand Rapids, MI, 49501-4917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083609374
Provider Name
James Dernocoeur
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
200 Jefferson Ave Se, Grand Rapids, MI, 49501-4917
Phone Number
800-968-6866
Fax Number
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970004371 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
200 Jefferson Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4502
Phone Number
800-968-6866
Fax Number
person
Provider Business Mailing Address Details
Address
200 Jefferson Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4502
Phone Number
800-968-6866
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601002553 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5601002553 (Michigan)
Definition
Definition to come...
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