Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Sep 28, 2017
License(s)
5601008344 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1234 NAPIER AVE | Saint Joseph, MI 49085-2112 | 269-983-8300 |
| MAILING | 1234 NAPIER AVE | Saint Joseph, MI 49085-2112 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.