NPI Code Details Logo

NPI 1134361033

NPI 1134361033 : BRIAN W. PAFF D.O. : HOLLAND, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1134361033
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRIAN W. PAFF D.O.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/24/2009
-----------------------------------------------------
    Last Update Date     |    11/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    370 N 120TH AVE 
-----------------------------------------------------
    City                 |    HOLLAND
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49424-2196
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    616-396-5855
-----------------------------------------------------
    Fax                  |    616-396-5720
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    370 N 120TH AVE 
-----------------------------------------------------
    City                 |    HOLLAND
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49424-2120
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    616-396-5855
-----------------------------------------------------
    Fax                  |    616-396-5720
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    5101020211
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207XS0106X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
-----------------------------------------------------
    License Number       |    5101020211
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.