Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Sep 7, 2016
License(s)
5601007876 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3404 PATIENT CARE DR | Lansing, MI 48911-4217 | 517-267-0200 |
| LOCATION | 3404 PATIENT CARE DR | Lansing, MI 48911-4217 | 517-267-0200 |
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