Individual provider · Type 1 NPI

Ashley Susan Tiemeyer Theisen, PA-C

Physician Assistant · Holland, MI

NPI number 1770103210 Active

Practice location

602 Michigan Ave Ste 102
Holland, MI 49423-4918

Call (616) 494-8724 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601009787 (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 1770103210

Ashley Susan Tiemeyer Theisen, PA-C's National Provider Identifier is 1770103210, issued on Apr 24, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Holland, MI. The record was last updated on Aug 26, 2024.