Individual provider · Type 1 NPI

Mollie Anne Tisdale, PAC

Physician Assistant · Big Rapids, MI

NPI number 1750014296 Active

Practice location

14755 215th Ave
Big Rapids, MI 49307-9224

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601011275 (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 1750014296

Mollie Anne Tisdale, PAC's National Provider Identifier is 1750014296, issued on Jul 1, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Big Rapids, MI. The record was last updated on Jul 16, 2024.