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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICAELA KATHRYN O'ROURKE, PA-C

Active

MICAELA KATHRYN O'ROURKE, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1215763354 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1215763354
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2024 (1.9015621684518 yrs)
Last Updated
Oct 1, 2024
License
5601012758 (MI)

Practice Information

Address
300 68TH ST SE
GRAND RAPIDS, MI, 495486927
Browse MI providers · Browse ZIP 49548
Phone
6164555000
Fax
6162816459
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. JACQUELINE S JOHANSON P.A.-C 1952304982
RENEE K SALYER P.A-C 1760481386
MR. JOHN C HENDRICKS PA-C 1992705610
CHERYL ANN SCHMITT PA-C 1851391031
LARA ELIZABETH EVANS PA-C 1356343933
BENJAMIN P LOYD PA-C 1174515167
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.