Madison R. Tiesenga, PA-C
Physician Assistant · Grand Rapids, MI
UnclaimedPA-CNPI 1912683541
- Primary taxonomy
- 363A00000X
- Enumerated
- 2023-06-27
- Practice location
- Grand Rapids, MI
- Last NPPES update
- 2026-09-10
State licenses
- MI · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.