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

Mr. Michael Joseph Maggio, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1992866784

Mr. Michael Joseph Maggio, PHYSICIANASSISTANT is a Medical Physician Assistant in Grand Rapids, Michigan. Licensed in Maryland and Michigan. Registered with an NPI since 2006.

Licensed in
MD, MI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

2900 Bradford St NE
Grand Rapids, MI 49525-6427
Phone: (616) 885-5000
Fax: (616) 885-5020
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005545 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0002740 (MD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601005545 (MI)

Record details

NPI number1992866784
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESApril 11, 2013

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