Brady Lee Peterson PAC

  • NPI 1619904554
According to our database, the NPI number for Brady Lee Peterson PAC is 1619904554 and activated since 17 years ago. Brady Lee Peterson PAC is an individual provider who specializes in Physician Assistant, and the primary practice location is 2900 Bradford St Ne, Grand Rapids, MI 49525. You can also contact Brady Lee Peterson PAC via telephone number is (616) 885-5000. Provider NPI information was last updated on 02/25/2021.

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Overview of Brady Lee Peterson PAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/27/2006
  • Last updated: 02/25/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601004582
  • License State: MI

Provider Mailing Address

  • Address: 100 Michigan St Ne # Mc845
    Grand Rapids, MI 49503
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 2900 Bradford St Ne
    Grand Rapids, MI 49525
  • Phone: 616-885-5000
  • Fax: 616-885-5020

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601004582
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Brady Lee Peterson PAC?
  • A: The npi number for Brady Lee Peterson PAC is 1619904554.
  • Q: What are Brady Lee Peterson PAC's specialties?
  • A: Brady Lee Peterson PAC's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Brady Lee Peterson PAC?
  • A: The medical license number for Brady Lee Peterson PAC is 5601004582 and issued in MI in USA.
  • Q: Where is Brady Lee Peterson PAC practice location?
  • A: Brady Lee Peterson PAC is practicing at 2900 Bradford St Ne, Grand Rapids, MI 49525.
  • Q: How to contact Brady Lee Peterson PAC?
  • A: You can contact Brady Lee Peterson PAC via 616-885-5000.