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MICHAEL CHURCH, PA-C

PA-C

Physician Assistant

NPI: 1164056727IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

5119-23(WI)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Physician Assistant — Medical

Code: 363AM0700X

5119-23(WI)

CMS Specialties

Education

OTHER

Class of 2020

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Contact & Hours

Address
636 Manhattan Rd SE
Grand Rapids, MI 49506

Quick Facts

NPI
1164056727
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
2
Years in Practice
6

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