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

Susanne Pettigrew, PA-C

Individual provider Medical Physician Assistant · NPI 1780686550

Susanne Pettigrew, PA-C is a Medical Physician Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

145 Michigan St NE Ste 4400
Grand Rapids, MI 49503-2564
Phone: (616) 486-6333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601001592 (MI)

Record details

NPI number1780686550
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

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