| Halli Disbrow, | |
|
3500 Lake Dr Se, Grand Rapids, MI 49546-4310 | |
| (616) 475-7577 | |
| Not Available |
| Full Name | Halli Disbrow |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 3500 Lake Dr Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215510862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601013927 (Michigan) | Primary |
| Entity Name | Mercy Health Partners Sub-specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124042700 PECOS PAC ID: 3274504105 Enrollment ID: O20040804000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Halli Disbrow, 3500 Lake Dr Se, Grand Rapids, MI 49546-4310 Ph: Not Available | Halli Disbrow, 3500 Lake Dr Se, Grand Rapids, MI 49546-4310 Ph: (616) 475-7577 |
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