Individual
JESSICA FIFELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2080 UNION AVE SE STE A, GRAND RAPIDS, MI 49507-3247
(616) 356-1934
(517) 441-4782
Mailing address
2080 UNION AVE SE, GRAND RAPIDS, MI 49507-3247
(616) 583-2138
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010583
MI
Other
Enumeration date
09/30/2021
Last updated
10/21/2022
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