Individual provider · Type 1 NPI

Susanne Pettigrew, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1780686550 Active

Practice location

145 Michigan St NE Ste 4400
Grand Rapids, MI 49503-2564

Call (616) 486-6333 Map

Mailing address

985 Gezon Pkwy SW
Wyoming, MI 49509-9563

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601001592 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1780686550

Susanne Pettigrew, PA-C's National Provider Identifier is 1780686550, issued on Aug 11, 2005. 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 Mar 30, 2020.