Individual
MRS. HEATHER MEDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
436 44TH ST SE, STE A, GRAND RAPIDS, MI 49548-4371
(616) 531-9750
(616) 531-9710
Mailing address
436 44TH ST SE, STE A, GRAND RAPIDS, MI 49548-4371
(616) 531-9750
(616) 531-9710
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003365
MI
Other
Enumeration date
02/01/2007
Last updated
06/10/2015
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