Samuel Peacock, PHYSICIANASSISTANT
Samuel Peacock, PHYSICIANASSISTANT is a Physician Assistant in Grand Rapids, Michigan. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
301 Michigan St NE Ste 200Grand Rapids, MI 49503-3314
Phone: (616) 331-5700
Fax: (616) 331-5999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1396694097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | January 26, 2026 |
| Last updated in NPPES | January 26, 2026 |
| Certification date | January 26, 2026 |
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