Individual
EMMANUEL JOHN BART-PLANGE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
25 MICHIGAN ST NE STE 6100, GRAND RAPIDS, MI 49503-2561
(616) 267-7900
Mailing address
3290 W BIG BEAVER RD STE 150, TROY, MI 48084-2931
(248) 792-6527
(248) 792-9106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010541
MI
363A00000X
Physician Assistant
7968
WI
Other
Enumeration date
04/28/2021
Last updated
03/02/2026
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