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Gregory P Mindock, PA-C

Physician Assistant in Richland, MI. Individual provider (NPI-1).

NPI number1790747665
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1790747665
Entity type
Individual (NPI-1)
Name
Mr. Gregory P Mindock
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Apr 5, 2006
Certification date
Oct 7, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5601001086MIYes

Practice location

8906 M 89
Richland, MI 49083

Phone 269-286-7130 · Fax 269-286-7131

Mailing address

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016

Phone 269-552-2836 · Fax 269-552-2964

Other practice locations

8450 N 32nd St
Richland, MI 49083-9418

Phone 269-226-2500

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Other Physician Assistant providers in Richland, MI

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