EDRA BURRIS, PA-C

Physician Assistant

Active Individual
NPI: 1215546791

Practice Address

3264 N EVERGREEN DR NE
Grand Rapids, MI 49525

Phone: (616) 363-7272

Specialties

Specialty Code Primary License
Radiology Practitioner Assistant 243U00000X No 5601009573 (MI)
Physician Assistant 363A00000X Yes 5601009573 (MI)

Frequently Asked Questions

NPI 1215546791 is the National Provider Identifier for EDRA BURRIS, PA-C, a Physician Assistant provider located in Grand Rapids, MI. This NPI was enumerated on July 30, 2020.
EDRA BURRIS, PA-C practices at 3264 N EVERGREEN DR NE, Grand Rapids, MI 49525.

Quick Facts

NPI
1215546791
Type
Individual
Enumerated
Jul 30, 2020
Last Updated
Jan 10, 2023

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