Provider Demographics
NPI:1386460350
Name:FALK, GARRETT JAMES (PA)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:JAMES
Last Name:FALK
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:301 MICHIGAN ST NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-3314
Mailing Address - Country:US
Mailing Address - Phone:616-331-5999
Mailing Address - Fax:
Practice Address - Street 1:301 MICHIGAN ST NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-3314
Practice Address - Country:US
Practice Address - Phone:616-331-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant