Most Relevant Information
Provider Data
| NPI Number: | 1003202623 |
| Provider Name: | ALEXANDRA BENGEL PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601007303 |
Most Important Dates
| Enumeration Date: | 04/09/2015 |
| Last Updated: | 03/05/2021 |
Provider Practice Location
145 MICHIGAN ST NE STE 5500
GRAND RAPIDS
MI
495032565
Practice Location Phone/Fax
| Phone: | 6162678540 |
| Fax: |
Provider Mailing Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |