Individual provider · Type 1 NPI
Christine Suzanne Martin, PAC
Medical Physician Assistant · Grand Rapids, MI
NPI number
1174617815
Active
Practice location
100 Michigan St NE, Suite A721
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601004837 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1174617815
Christine Suzanne Martin, PAC's National Provider Identifier is 1174617815, issued on Oct 3, 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 Feb 26, 2021.