Audrey Macciomei
Audrey Macciomei is a Physician Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2024
Practice location Address checks out
630 Kenmoor Ave SE Ste 103Grand Rapids, MI 49546-8626
Phone: (616) 600-4950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601012216 (MI) |
|---|
Record details
| NPI number | 1639927593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 7, 2024 |
| Last updated in NPPES | May 7, 2024 |
| Certification date | May 7, 2024 |
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