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

KATHERINE MARIE BUSSONE, PA-C

Active

KATHERINE MARIE BUSSONE, PA-C is a Physician Assistant healthcare provider located in GRANDVILLE, Michigan. NPI 1780995902 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRANDVILLE, MI

Registration Details

NPI Number
1780995902
Provider Type
Individual
Gender
Female
NPI Issued
Jun 23, 2010 (16.135640485422 yrs)
Last Updated
Feb 19, 2021
License
5601005777 (MI)

Practice Information

Address
3185 MACATAWA DR SW
SUITE A
GRANDVILLE, MI, 494183184
Browse MI providers · Browse ZIP 49418
Phone
6163914500
Fax
6164860130
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRANDVILLE, MI

Name Credential NPI
SUZAN JANE NOFFSINGER P.A. 1962477547
TRACI NGUYEN PA-C 1356394860
MRS. MOLLY R DUIVEN PA C 1922032606
MRS. AMBER E KINTIGH PAC 1780619791
MR. RONALD W REUSCH PA C 1528085040
MR. KURT VANDERVEEN PA-C 1407941396
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.