Individual provider · Type 1 NPI

Ellen Jensine Junewick, PA

Medical Physician Assistant · Grand Rapids, MI

NPI number 1124687033 Active

Practice location

426 Michigan St NE
Grand Rapids, MI 49503-5609

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601009426 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1124687033

Ellen Jensine Junewick, PA's National Provider Identifier is 1124687033, issued on Jun 13, 2019. 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 Jul 1, 2024.