Graceson Caroline Maxa

Physician Assistant · Midland, MI

Individual Active NPI

NPI number 1396345575

Practice location

4000 Wellness Dr
Midland, MI 48670-2000
Phone
(989) 794-5240

Open in Google Maps

NPI record

NPI
1396345575
Entity type
Individual (Type 1)
Enumeration date
October 28, 2020
Last updated
June 7, 2022
Certified
June 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 5601010272 MI

Mailing address

4000 Wellness Dr
Midland, MI 48670-0001
Phone
(989) 832-0900

About Graceson Maxa

Graceson Caroline Maxa is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4000 Wellness Dr, Midland, MI 48670-2000. The NPI number 1396345575 was assigned on October 28, 2020 and the record was last updated on June 7, 2022.

Graceson Maxa lists a license in the registry: #5601010272 (MI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Graceson Caroline Maxa?

The NPI number is 1396345575.

What is the phone number of Graceson Maxa?

The phone number listed for the practice location is (989) 794-5240.

Where is Graceson Maxa located?

4000 Wellness Dr, Midland, MI 48670-2000.

What is the taxonomy code for Graceson Maxa?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Midland

All Physician Assistant providers in Midland, MI →