SearchMichiganPhysician Assistant

Danielle Diekevers

NPI 1376949347 · on the registry since 2014

Practice

Address
100 Michigan St Ne # Mc019
Grand Rapids, MI 49503
Phone
(616) 391-1969
Fax
(616) 391-6248
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
Female
Record last updated
2021-03-02

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