Pennock State Street Center
Pennock State Street Center is a Medical Physician Assistant in Hastings, Michigan. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
1108 W State StHastings, MI 49058-9711
Phone: (269) 948-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1932490885 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Poholski — Director · (616) 975-1845 |
| NPI enumerated | April 27, 2011 |
| Last updated in NPPES | April 2, 2019 |
| Mailing address | 4100 Embassy Dr Se, Suite 200, Grand Rapids, MI 49546-2416 |
Other providers in Hastings
-
Norman Davidson, PA
840 Cook Rd, Hastings, MI 49058-9616 · (269) 945-9520
-
Steven R Eernisse, PA-C
1009 W Green St, Hastings, MI 49058-1710 · (269) 945-3451
-
Melissa Grables, MA
500 Barfield Dr, Hastings, MI 49058-9018 · (269) 948-8041
-
Katherine Suzanne Martin, PA-C
1108 W State St Ste 3, Hastings, MI 49058-9711 · (269) 945-0922
-
Jennie E Szatkowski, PA-C
1009 W Green St, Hastings, MI 49058-1710 · (616) 391-3139