Individual provider · Type 1 NPI

Elizabeth Joanne Anderson, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1629158399 Active

Practice location

1545 68th St SE, Suite 100
Grand Rapids, MI 49508-7896

Call (616) 267-7881 Map

Fax (616) 267-7641

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004734 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1629158399

Elizabeth Joanne Anderson, PA-C's National Provider Identifier is 1629158399, issued on Oct 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 24, 2021.