Individual provider · Type 1 NPI

Bethany Joy Tillema, PA-C

Physician Assistant · Holland, MI

NPI number 1417920331 Active

Practice location

588 E Lakewood Blvd
Holland, MI 49424-2023

Call (616) 267-8860 Map

Fax (616) 267-8442

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008127 (MI)
Athletic Trainer 2255A2300X2601000292 (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 1417920331

Bethany Joy Tillema, PA-C's National Provider Identifier is 1417920331, issued on Feb 10, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Holland, MI. The record was last updated on Nov 2, 2026.