Individual provider · Type 1 NPI

Leslie A. Boonstra, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1770618522 Active

Practice location

550 Cherry St SE
Grand Rapids, MI 49503-4748

Call (616) 235-7272 Map

Fax (616) 776-2122

Mailing address

100 Cherry St SE
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601004592 (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 1770618522

Leslie A. Boonstra, PA-C's National Provider Identifier is 1770618522, issued on Feb 22, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 26, 2012.