SearchMichiganPhysician Assistant

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