person
Timothy J Hunter, PAC
Surgical Physician Assistant in Grand Rapids, Michigan
NPI 1639166697

Timothy J Hunter is a Surgical Physician Assistant based in Grand Rapids, MI and is specialized in Surgical. Timothy J Hunter practices in Grand Rapids, MI and has the professional credentials of PAC. The NPI Number for Timothy J Hunter is 1639166697 and holds a License No. 5601002881 (Michigan).

The current practice location address for Timothy J Hunter is 1111 Leffingwell Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-459-7101 and via fax at 616-464-6170.

Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI, 49525-6406
person
Provider Profile Details
NPI Number
1639166697
Provider Name
Timothy J Hunter
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1111 Leffingwell Ave Ne, Grand Rapids, MI, 49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970022496 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1111 Leffingwell Ave Ne
City
State
Zip
49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider Business Mailing Address Details
Address
1111 Leffingwell Ave Ne
City
State
Zip
49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601002881 (Michigan)
Definition
Definition to come...
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