Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA RENEE PETERSON, PA
ActiveGINA RENEE PETERSON, PA is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1497005474 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1497005474
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2012 (13.895330731803 yrs)
- Last Updated
- Oct 30, 2015
- License
-
5601006479 (MI)
Practice Information
- Address
-
330 E BELTLINE AVE NESUITE 100GRAND RAPIDS, MI, 495061267Browse MI providers · Browse ZIP 49506
- Phone
- 6167526235
- Fax
- 6163288176
- 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.