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

Daniel J Stalsonburg, PA

Individual provider Physician Assistant · NPI 1720169246

Daniel J Stalsonburg, PA is a Physician Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

100 Michigan Ave.nw Ste A721
Grand Rapids, MI 49503
Phone: (616) 974-4493
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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 5601004692 (MI)

Record details

NPI number1720169246
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJanuary 31, 2011

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