MEDICARE: MS. KIMBERLY MARIE COMEAU PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5601008964	MI

General Provider Information

NPI Number	:	1609349802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLY MARIE COMEAU PA-C

Provider Business Mailing Address
First Line	:	4100 EMBASSY DR SE STE 400
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2416
Country	:	US
Telephone Number	:	616-975-1845
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 MEIJER DR
Second Line	:
City	:	CHARLOTTE
State	:	MI
Zip	:	48813-8457
Country	:	US
Telephone Number	:	517-541-5935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2019
Last Update Date	:	09/11/2025

Similar Medicare Providers

1043419427 — SPARROW EATON HOSPITAL
Practice Location Address:

616 MEIJER DR
CHARLOTTE, MI
48813-8457

Practice Phone: 517-541-7976
Practice Fax: 517-543-8174

1760681159 — SPARROW EATON HOSPITAL
Practice Location Address:

616 MEIJER DR
CHARLOTTE, MI
48813-8457

Practice Phone: 517-541-5899
Practice Fax: 517-543-6952

1285922328 — ARJUNA JAMES CUDDEBACK D.O.
Practice Location Address:

616 MEIJER DR STE 101
CHARLOTTE, MI
48813-8457

Practice Phone: 517-543-7976
Practice Fax:

1245710417 — EMMA K SHARP PA
Practice Location Address:

616 MEIJER DR # 101
CHARLOTTE, MI
48813-8457

Practice Phone: 517-543-7976
Practice Fax:

1508337825 — STEPHANIE HILLIKER FNP
Practice Location Address:

616 MEIJER DR
CHARLOTTE, MI
48813-8457

Practice Phone: 517-541-5935
Practice Fax:

1154965952 — NICOLE ROESKE PEARSON MSN, APRN, FNP-C
Practice Location Address:

616 MEIJER DR
CHARLOTTE, MI
48813-8457

Practice Phone: 517-541-5935
Practice Fax:

Directions to “ MS. KIMBERLY MARIE COMEAU PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.