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

Makinni Marie Kornak-Kotarba

Individual provider Physician Assistant · NPI 1801612874

Makinni Marie Kornak-Kotarba is a Physician Assistant in Grand Rapids, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

301 Michigan St NE
Grand Rapids, MI 49503-3314
Phone: (616) 331-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1801612874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

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