Michelle Vicky Wolfsen in Grand Haven - Physician Assistant
Michelle Vicky Wolfsen - NPI 1871574046
Michelle Vicky Wolfsen is a Physician Assistant in Grand Haven, Michigan. Michelle Vicky Wolfsen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle Vicky Wolfsen is 1871574046. The last update date is 2023-07-07.
Michelle Vicky Wolfsen's current location address is 15100 Whittaker Way, Grand Haven, Michigan. You can contact this provider via phone number 6167748345. The mailing address for Michelle Vicky Wolfsen is 15100 Whittaker Way, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Vicky Wolfsen |
|---|---|
| Address | 15100 Whittaker Way, Grand Haven, Michigan |
| Phone Number | 6167748345 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1871574046 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2023-07-07 |
Provider Mailing Address Detail
| Address | 15100 Whittaker Way |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 494178696 |
| Phone Number | 6167748345 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004565 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Michelle Vicky Wolfsen by the Centers for Medicare & Medicaid Services?
The Michelle Vicky Wolfsen has been issued the NPI (National Provider Identifier) 1871574046. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michelle Vicky Wolfsen is geographically located?
The Michelle Vicky Wolfsen is physically situated at the following location: 15100 Whittaker Way, Grand Haven, MI, 494178696.
What is the Michelle Vicky Wolfsen's specialty and taxonomy code?
The Michelle Vicky Wolfsen's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Michelle Vicky Wolfsen receive the assignment of its 1871574046 from the Centers for Medicare & Medicaid Services?
The Michelle Vicky Wolfsen was issued its 1871574046 by the Centers for Medicare & Medicaid Services on 2005-11-07.
As of what date were the details related to Michelle Vicky Wolfsen most recently updated or revised?
The information pertaining to Michelle Vicky Wolfsen, including its address, specialty, and other relevant details, was last updated or revised on 2023-07-07.