Individual ProviderJoanne JoliatPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address221 Michigan St NE, Suite 200, Grand Rapids, MI 49503-2533(616) 267-8950PECOS EnrollmentBased on the most recent information from CMS, provider Joanne Joliat does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1578584827Provider TypeIndividualFull NameJoliat, JoanneCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date7/22/2006Last Updated3/31/2022Contact InformationPractice LocationPractice Address221 Michigan St NE, Suite 200, Grand Rapids, MI 49503-2533Phone(616) 267-8950Fax(616) 267-8585Mailing LocationMailing Address100 Michigan St NE, Mc845, Grand Rapids, MI 49503-2560PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense5601003796Michigan