DANIEL J STALSONBURG PA
NPI 1720169246
Physician Assistant in Grand Rapids, MI

Active since October 18, 2006
100 MICHIGAN AVE.NW, SUITE A721, GRAND RAPIDS, MI 49503(616) 974-4493 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel J Stalsonburg Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL J STALSONBURG PA (NPI 1720169246) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601004692) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1720169246
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL J STALSONBURGCredential: PA
Location Address100 MICHIGAN AVE.NW, SUITE A721Grand Rapids, MI 49503
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJanuary 31, 2011
NPI 1720169246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601004692
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 MICHIGAN AVE.NW, Grand Rapids, MI 49503

Other Identifiers 4

Medicare ID-Type UnspecifiedON38550035MI
Medicare UPINQ61278MI
Medicare PINM14700016MI
Medicare PIN0M74460363MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Stalsonburg's NPI number?

The NPI number for Daniel Stalsonburg is 1720169246. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Daniel Stalsonburg located?

Daniel Stalsonburg practices at 100 Michigan Ave.Nw Suite A721, Grand Rapids, MI 49503. The listed phone number is (616) 974-4493.

What is Daniel Stalsonburg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Daniel Stalsonburg was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.