Individual provider · Type 1 NPI

Autumn Elizabeth Dittenber, PA-C

Physician Assistant · Fremont, MI

NPI number 1013461581 Active

Practice location

230 W Oak St
Fremont, MI 49412-1526

Call (231) 924-4200 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601007826 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013461581

Autumn Elizabeth Dittenber, PA-C's National Provider Identifier is 1013461581, issued on Aug 12, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fremont, MI. The record was last updated on May 26, 2026.