Individual
BROCK GOLEMBIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6781
Mailing address
5394 NAPLES CEDAR DR SW, WYOMING, MI 49519-9652
(616) 299-0675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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