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Mitchell Fogal, PA-C
NPI 1407101538 · on the registry since 2012
Practice
- Address
- 370 N 120th Ave Ste 20
Holland, MI 49424 - Phone
- (616) 396-5855
- Fax
- (877) 592-0688
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-10
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