Individual
SUSANNE PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 MICHIGAN ST NE STE 4400, GRAND RAPIDS, MI 49503-2564
(616) 486-6333
Mailing address
985 GEZON PKWY SW, WYOMING, MI 49509-9563
(616) 252-4655
(616) 252-0103
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001592
MI
Other
Enumeration date
08/11/2005
Last updated
03/30/2020
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