Evan Gerondale, PA is a medical physician assistant in Grand Rapids, MI with 4 years of experience. Evan Gerondale, PA NPI is 1336730662. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1740 E PARIS AVE SE
GRAND RAPIDS, MI
ZIP 49546-204
Phone: (616) 949-5600
Fax: (616) 949-6571
The NPI 1336730662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/29/2021 and was last updated on 1/29/2021.