Individual
LINDSEY MARIE MINNEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-5609
(616) 391-2778
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-5111
(616) 391-2503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006589
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306009055
—
MI
Enumeration date
07/02/2008
Last updated
02/18/2021
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