Provider Demographics
NPI:1215937198
Name:DUCHEMIN, BARBARA L (PA-C)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:L
Last Name:DUCHEMIN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:829 FOREST HILL AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-2387
Mailing Address - Country:US
Mailing Address - Phone:616-949-2410
Mailing Address - Fax:616-949-9948
Practice Address - Street 1:5251 CLYDE PARK SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509
Practice Address - Country:US
Practice Address - Phone:616-532-1100
Practice Address - Fax:616-249-2246
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2011-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601002158363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical