Individual
KRISTA K. MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 LAFAYETTE AVE SE # 220, GRAND RAPIDS, MI 49503-4692
(616) 685-5170
Mailing address
685 PINE MEADOW LN NE, ADA, MI 49301-9773
(630) 484-3910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007679
MI
363AM0700X
Medical Physician Assistant
Primary
085-003409
IL
363AM0700X
Medical Physician Assistant
085003409
IL
363AM0700X
Medical Physician Assistant
085003409
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00392993
RAILROAD MEDICARE
KY
Enumeration date
10/25/2006
Last updated
11/12/2024
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