Individual
JUSTIN KYLE ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 391-1730
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 988-8220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013031
MI
Other
Enumeration date
02/04/2025
Last updated
03/04/2025
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