Individual
GARETT PANGRAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2770 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-8614
(616) 267-8860
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301096379
MI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
4301096379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952614497
—
WA
Enumeration date
07/26/2010
Last updated
11/05/2024
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