PENNOCK STATE STREET CENTER

Medical Physician Assistant

NPI: 1932490885Organization

Specialties, Licenses & Credentials

Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

Contact & Hours

Address: 1108 W STATE ST
HASTINGS, MI 49058
Phone: (269) 948-3360

Quick Facts

NPI: 1932490885
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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