Individual
BRETT D BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
125 S KALAMAZOO MALL STE 204, KALAMAZOO, MI 49007-4869
(269) 343-3900
(269) 343-5640
Mailing address
2819 RANGE ST, KALAMAZOO, MI 49004-1849
(269) 365-6495
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5601008772
MI
363A00000X
Physician Assistant
Primary
10003070A
IN
Other
Enumeration date
09/12/2018
Last updated
03/03/2022
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