Provider Demographics
NPI:1568864353
Name:BABIAK, BRITTANY L (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:L
Last Name:BABIAK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:2525 E PARIS AVE SE STE 100
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6191
Practice Address - Country:US
Practice Address - Phone:616-678-2070
Practice Address - Fax:616-940-4578
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2022-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601007617363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical