Heather Medema PA-C

NPI 1326186735 - Physician Assistant - 363AM0700X

NPI Details
NPI 1326186735
Gender Female
Enumeration Date 02/01/2007
Last Updated 06/10/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
436 44TH ST SE
STE A
GRAND RAPIDS MI, 49548-4371, US
Phone (616) 531-9750
Fax (616) 531-9710
Business Location
436 44TH ST SE
STE A
GRAND RAPIDS MI, 49548-4371, US
Phone (616) 531-9750
Fax (616) 791-6729
Toxanomy
Taxonomy Code 363AM0700X
License State Michigan
License Number 5601003365
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According to our database, Mrs. Heather Medema PA-C NPI is 1326186735, taxonomy code is 363AM0700X and license number is 5601003365, license state is located at Michigan. Heather Medema PA-C physically located at 436 44th St Se, Grand Rapids MI, 49548-4371. NPI Number Heather Medema PA-C has the Individual type.

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1326186735 NPI number is provided on an as is basis without warranty of any kind. 1326186735 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Medema PA-C are for informational purposes only.