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MITCHELL FOGAL, PA-C
PA-C
Physician Assistant
NPI: 1407101538IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
5601011747(MI)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2012
Contact & Hours
- Address
- 370 N 120TH AVE STE 20
HOLLAND, MI 49424 - Phone
- (616) 396-5855
Quick Facts
- NPI
- 1407101538
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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