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Physician Assistant
NPI: 1912015850IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
5601003705(MI)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 100 MICHIGAN ST NE, STE A721
GRAND RAPIDS, MI 49503 - Phone
- (616) 974-4889
Quick Facts
- NPI
- 1912015850
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 25
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