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Mrs. Brenda Jo Wharton, PA-C
Medical Physician Assistant in Grand Rapids, Michigan
NPI 1093815144

Brenda Jo Wharton is a Medical Physician Assistant based in Saint Clair Shores, MI and is specialized in Medical. Brenda Jo Wharton practices in Grand Rapids, MI and has the professional credentials of PA-C. The NPI Number for Brenda Jo Wharton is 1093815144 and holds a License No. 5601004126 (Michigan).

The current practice location address for Brenda Jo Wharton is 25 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-459-4171 and via fax at 616-459-0044.

Location: 25 Michigan St Ne, Grand Rapids, MI, 48081-3203
person
Provider Profile Details
NPI Number
1093815144
Provider Name
Brenda Jo Wharton
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
25 Michigan St Ne, Grand Rapids, MI, 48081-3203
Phone Number
616-459-4171
Fax Number
616-459-0044
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
382285194 01 MI TAX ID
institution
Provider Business Practice Location Address Details
Address
25 Michigan St Ne
City
State
Zip
49503-2515
Phone Number
616-459-4171
Fax Number
616-459-0044
person
Provider Business Mailing Address Details
Address
25 Michigan St Ne
City
State
Zip
49503-2515
Phone Number
616-459-4171
Fax Number
616-459-0044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601004126 (Michigan)
Definition
Definition to come...
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