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Jesse Tien
NPI 1285029249 · on the registry since 2015
Practice
- Address
- 10047 Crossroad Ct Se
Caledonia, MI 49316 - Phone
- (616) 685-8850
- Organisation at this address
- Gro Optical, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan