Individual
GINGER K BIESBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2332 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1955
(616) 391-6220
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002942
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982921
—
MI
01
—
970020995
RAILROAD MEDICARE
MI
Enumeration date
11/07/2005
Last updated
08/12/2014
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