Individual
ERICA BARTLETT RUSTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 MICHIGAN ST NE STE 8861, GRAND RAPIDS, MI 49503-2560
(616) 391-6588
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011902
MI
Other
Enumeration date
08/09/2023
Last updated
07/13/2026
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