Individual
EMMA PENNINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4601
Mailing address
931 4 MILE RD NE, GRAND RAPIDS, MI 49525-2648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012007
MI
Other
Enumeration date
09/18/2023
Last updated
08/15/2025
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