Individual
MR. AARON MICHAEL BACALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6210 W MAIN ST, KALAMAZOO, MI 49009-8925
(269) 286-7030
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004843
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601004843
PERMANENT ID NUMBER
MI
Enumeration date
09/27/2006
Last updated
03/22/2023
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