Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNE PETTIGREW, PA-C
ActiveSUSANNE PETTIGREW, PA-C is a Medical Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1780686550 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1780686550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2005 (20.967322239583 yrs)
- Last Updated
- Mar 30, 2020
- License
-
5601001592 (MI)
Practice Information
- Address
-
145 MICHIGAN ST NE STE 4400GRAND RAPIDS, MI, 495032564Browse MI providers · Browse ZIP 49503
- Phone
- 6164866333
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN PAUL DUCHEMIN | PA-C | 1902805104 |
| MR. RICHARD RAY JONES | PA-C | 1144229048 |
| WILLIAM G BRINKMEIER | PAC | 1437151834 |
| JILL A NOACK | PA C | 1891788261 |
| MARGUERITE B SOWERS | PA-C | 1063406841 |
| JAMES DERNOCOEUR | PA | 1083609374 |
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.