Individual provider · Type 1 NPI

Gina Renee Peterson, PA

Physician Assistant · Grand Rapids, MI

NPI number 1497005474 Active

Practice location

330 E Beltline Ave NE, Suite 100
Grand Rapids, MI 49506-1267

Call (616) 752-6235 Map

Fax (616) 328-8176

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006479 (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 1497005474

Gina Renee Peterson, PA's National Provider Identifier is 1497005474, issued on Sep 17, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 30, 2015.