Individual provider · Type 1 NPI

John J. Mulder Iv, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1124009071 Active

Practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Call (616) 391-3431 Map

Fax (616) 391-2783

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601004510 (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 1124009071

John J. Mulder Iv, PA-C's National Provider Identifier is 1124009071, issued on Nov 8, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 8, 2026.