Registry details
Type
Organization
Primary specialty
Physician Assistant
Enumerated
Apr 5, 2016
License(s)
SA0280084 (MI), 5601005691 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1010 S GARFIELD AVE | Traverse City, MI 49686 | 231-346-5216 |
| MAILING | 1010 S GARFIELD AVE | Traverse City, MI 49686-3434 | 231-346-5223 |
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