Individual
MARCO LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 MICHIGAN ST NE STE 8861, GRAND RAPIDS, MI 49503-2560
(616) 391-6588
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010751
MI
Other
Enumeration date
11/08/2021
Last updated
05/27/2025
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