Individual provider · Type 1 NPI

Marc Allen Bush, PA

Medical Physician Assistant · Grand Rapids, MI

NPI number 1043391154 Active

Practice location

100 Michigan St. NW, Suite A721
Grand Rapids, MI 49503

Call (616) 974-4493 Map

Mailing address

100 Michigan Street NW, Suite A721
Grand Rapids, MI 49503

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601001779 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1043391154

Marc Allen Bush, PA's National Provider Identifier is 1043391154, issued on Oct 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 8, 2013.