Tracy Ann Smith in Grand Rapids - Physician Assistant
Tracy Ann Smith - NPI 1902911449
Tracy Ann Smith is a Physician Assistant in Grand Rapids, Michigan. Tracy Ann Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Ann Smith is 1902911449. The last update date is 2023-11-15.
Tracy Ann Smith's current location address is 4100 Lake Dr Se Ste 300, Grand Rapids, Michigan. You can contact this provider via phone number 6162678860. The mailing address for Tracy Ann Smith is 4100 Lake Dr Se Ste 300, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Ann Smith |
|---|---|
| Address | 4100 Lake Dr Se Ste 300, Grand Rapids, Michigan |
| Phone Number | 6162678860 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1902911449 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2023-11-15 |
Provider Mailing Address Detail
| Address | 4100 Lake Dr Se Ste 300 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49546 |
| Phone Number | 6162678860 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003637 |
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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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Post Comment/ Review Below
Can you provide the Tracy Ann Smith's physical address?
The Tracy Ann Smith is physically located at 4100 Lake Dr Se Ste 300, in the city of Grand Rapids, MI, with the postal code 49546.
What is the Tracy Ann Smith's area of specialization and corresponding taxonomy classification?
The Tracy Ann Smith's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Tracy Ann Smith receive its 1902911449?
The Tracy Ann Smith was issued its 1902911449 on 2006-08-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Tracy Ann Smith's details last updated?
The information pertaining to the Tracy Ann Smith, including its address, specialty, and other details, was most recently updated on 2023-11-15.
As of what date were the details related to Tracy Ann Smith most recently updated or revised?
The information pertaining to Tracy Ann Smith, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-15.
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