Individual provider · Type 1 NPI

Shelby Petersen

Physician Assistant · Grand Rapids, MI

NPI number 1245006709 Active

Practice location

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416

Call (822) 061-6988 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601012426 (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 1245006709

Shelby Petersen's National Provider Identifier is 1245006709, issued on Nov 27, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 22, 2024.