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

MATTHEW P RICCI, PAC

Active

MATTHEW P RICCI, PAC is a Surgical Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1215924386 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1215924386
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2005 (20.820615457658 yrs)
Last Updated
Sep 18, 2013
Licenses
5601003589 (MI)
5601003589 (MI)

Practice Information

Address
1111 LEFFINGWELL AVE NE
STE 100
GRAND RAPIDS, MI, 495256406
Browse MI providers · Browse ZIP 49525
Phone
6164597101
Fax
6164646170
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
DENNIS C GREGORY PAC 1093702169
MICHAEL LEE BILLS PA-C 1366439432
JOSEPH N PIGORSH PAC 1043207111
TIMOTHY J HUNTER PAC 1639166697
DAVID M KAMINSKI PAC 1164419123
MICHAEL J PARNISKE PAC 1154318228
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.