Individual provider · Type 1 NPI

Matthew P. Ricci, PAC

Surgical Physician Assistant · Grand Rapids, MI

NPI number 1215924386 Active

Practice location

1111 Leffingwell Ave NE, Ste 100
Grand Rapids, MI 49525-6406

Fax (616) 464-6170

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X5601003589 (MI)
Surgical Physician Assistant Primary 363AS0400X5601003589 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1215924386

Matthew P. Ricci, PAC's National Provider Identifier is 1215924386, issued on Oct 4, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 18, 2013.