NPI 1215119466

Sara Jaime Wilson, PAC

Practitioner Physician Assistant Byron Center, MI

Practice location

Address: 7751 Byron Center Ave SW STE a, Byron Center, MI 49315-8001
Phone: (616) 878-3321
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601012418 (MI)

Other Physician Assistant providers in Michigan →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 1955 (CO)

Registry record

NPI: 1215119466
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2007
Record last updated: 29 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.