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

DANIEL J STALSONBURG, PA

Active

DANIEL J STALSONBURG, PA is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1720169246 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1720169246
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2006 (19.830969573737 yrs)
Last Updated
Jan 31, 2011
License
5601004692 (MI)

Practice Information

Address
100 MICHIGAN AVE.NW
SUITE A721
GRAND RAPIDS, MI, 49503
Browse MI providers · Browse ZIP 49503
Phone
6169744493
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.