Individual provider · Type 1 NPI
Marcelyn Anderson, PA-C
Medical Physician Assistant · Grand Rapids, MI
NPI number
1801986914
Active
Practice location
100 Michigan St NE, Suite A721
Grand Rapids, MI 49503-2560
Fax (616) 391-3044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2326-023 (WI) |
| Medical Physician Assistant Primary | 363AM0700X | 5601006703 (MI) |
| Medical Physician Assistant | 363AM0700X | 085002748 (IL) |
Medical Physician Assistant: Definition to come...
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About NPI 1801986914
Marcelyn Anderson, PA-C's National Provider Identifier is 1801986914, issued on Oct 13, 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.