JAMES DERNOCOEUR, PA
Physician Assistant - Medical
Active
Individual
NPI: 1083609374
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 5601002553 (MI) |
| Physician Assistant - Medical | 363AM0700X | Yes | 5601002553 (MI) |
Frequently Asked Questions
NPI 1083609374 is the National Provider Identifier for JAMES DERNOCOEUR, PA, a Physician Assistant - Medical provider located in Grand Rapids, MI. This NPI was enumerated on September 13, 2005.
JAMES DERNOCOEUR, PA practices at 200 JEFFERSON AVE SE, Grand Rapids, MI 49503.
Quick Facts
- NPI
- 1083609374
- Type
- Individual
- Enumerated
- Sep 13, 2005
- Last Updated
- Aug 11, 2011
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