Individual
LAYNE DERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
743 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6045
(616) 320-0096
Mailing address
2100 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7759
(616) 320-0096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006910
MI
Other
Enumeration date
05/22/2014
Last updated
12/16/2025
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