Easton Izaak Mann, PA-C

NPI #1447719182 in Kentwood, Michigan

Provider Information

NPI Number: 1447719182
Entity Type: Individual
Name: Easton Izaak Mann, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 12, 2019
Last Updated: Oct 3, 2023

Practice Location

Address: 4600 BRETON RD SE STE 102
City: Kentwood
State: Michigan
ZIP Code: 49508-5220
Phone: (616) 391-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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