Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Jan 10, 2017
License(s)
5601008063 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 601 JOHN ST SUITE M273 | Kalamazoo, MI 49007-5341 | 269-381-0180 |
| LOCATION | 601 JOHN ST SUITE M273 | Kalamazoo, MI 49007-5341 | 269-381-0180 |
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