Individual provider · Type 1 NPI

Valeri A. Rusco, PAC

Surgical Physician Assistant · Grand Rapids, MI

NPI number 1225193253 Active

Practice location

230 Michigan St NE, Suite 300
Grand Rapids, MI 49503-2550

Mailing address

1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601004845 (MI)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1225193253

Valeri A. Rusco, PAC's National Provider Identifier is 1225193253, issued on Dec 27, 2006. 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 Aug 6, 2014.