According to our database, the NPI number for Regina R Koorndyk PA is 1417050535 and activated since 17 years ago. Regina R Koorndyk PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546. You can also contact Regina R Koorndyk PA via telephone number is (616) 391-3759. Provider NPI information was last updated on 02/25/2021.

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Overview of Regina R Koorndyk PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/06/2006
  • Last updated: 02/25/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601004505
  • License State: MI

Provider Mailing Address

  • Address: 100 Michigan St Ne
    Mc845
    Grand Rapids, MI 49503
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4100 Lake Dr Se Ste 200
    Grand Rapids, MI 49546
  • Phone: 616-391-3759
  • Fax: 616-391-3052

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601004505
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Regina R Koorndyk PA?
  • A: The npi number for Regina R Koorndyk PA is 1417050535.
  • Q: What are Regina R Koorndyk PA's specialties?
  • A: Regina R Koorndyk PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Regina R Koorndyk PA?
  • A: The medical license number for Regina R Koorndyk PA is 5601004505 and issued in MI in USA.
  • Q: Where is Regina R Koorndyk PA practice location?
  • A: Regina R Koorndyk PA is practicing at 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546.
  • Q: How to contact Regina R Koorndyk PA?
  • A: You can contact Regina R Koorndyk PA via 616-391-3759.