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Evan Gerondale, PA
NPI 1336730662 · on the registry since 2021
Practice
- Address
- 1740 E Paris Ave Se
Grand Rapids, MI 49546 - Phone
- (616) 949-5600
- Fax
- (616) 949-6571
- Organisation at this address
- Dawm, Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan