NPI 1235955121

Olivia Dennison

Practitioner Physician Assistant Grandville, MI

Practice location

Address: 6105 Wilson Ave SW, Grandville, MI 49418-9714
Phone: (616) 486-5100
Mailing address: 100 Michigan St NE Mc 845, Grand Rapids, MI 49503-2560

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601013187 (MI)

Other Physician Assistant providers in Michigan →

Registry record

NPI: 1235955121
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2024
Record last updated: 22 Sep 2025

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.