Individual provider · Type 1 NPI

Megan Christina Latham, PAC

Medical Physician Assistant · Grand Rapids, MI

NPI number 1912364100 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Fax (616) 685-3064

Mailing address

PO Box 3578
Grand Rapids, MI 49501-3578

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601007649 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1912364100

Megan Christina Latham, PAC's National Provider Identifier is 1912364100, issued on Jan 20, 2016. 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 15, 2016.