Individual
MICAH NAHUM FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4050 DEL MAR DR SW STE C, WYOMING, MI 49418-8870
(616) 317-4807
Mailing address
4050 DEL MAR DR SW STE C, WYOMING, MI 49418-8870
(616) 317-4807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008858
MI
Other
Enumeration date
02/07/2019
Last updated
03/19/2026
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