Individual provider · Type 1 NPI

David Charles Waterson Jr., PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1821666876 Active

Practice location

2902 Bradford St NE
Grand Rapids, MI 49525-6427

Call (616) 885-5200 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010609 (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 1821666876

David Charles Waterson Jr., PA-C's National Provider Identifier is 1821666876, issued on Jun 16, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 29, 2025.