Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Mirque, PAS

Individual provider Physician Assistant · NPI 1184573867

Christopher Mirque, PAS is a Physician Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

301 Michigan St NE Ste 200
Grand Rapids, MI 49503-3314
Phone: (616) 331-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1184573867
Entity typeIndividual (Type 1)
GenderMale
Credentials PAS
Sole proprietorYes
NPI enumeratedJanuary 26, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

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