Individual provider · Type 1 NPI

Anna Noelle Gaeth, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1104320092 Active

Practice location

221 Michigan St NE Ste 400
Grand Rapids, MI 49503-2538

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008614 (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 1104320092

Anna Noelle Gaeth, PA-C's National Provider Identifier is 1104320092, issued on Mar 23, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 10, 2026.