Tracy L Mulder, PHYSICIAN ASSISTANT

NPI #1477720423 in Grandville, Michigan

Provider Information

NPI Number: 1477720423
Entity Type: Individual
Name: Tracy L Mulder, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: May 9, 2008
Last Updated: Dec 8, 2021

Practice Location

Address: 3380 44TH ST SW
City: Grandville
State: Michigan
ZIP Code: 49418-2461
Phone: (616) 685-8250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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