Individual provider · Type 1 NPI

Brady Lee Peterson, PAC

Physician Assistant · Grand Rapids, MI

NPI number 1619904554 Active

Practice location

2900 Bradford St NE
Grand Rapids, MI 49525-6427

Call (616) 885-5000 Map

Fax (616) 885-5020

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601004582 (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 1619904554

Brady Lee Peterson, PAC's National Provider Identifier is 1619904554, issued on Jun 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 25, 2021.