Individual
RENEE LYNN HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 MICHIGAN ST NE, SUITE 3100, GRAND RAPIDS, MI 49503-2562
(616) 954-9800
(616) 389-1769
Mailing address
710 KENMOOR AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-2379
(616) 954-9800
(616) 389-1769
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003987
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00641756
RR MEDICARE
MI
Enumeration date
10/11/2006
Last updated
03/24/2015
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