Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Nov 13, 2006
License(s)
5601003341 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1447 N HARRISON ST | Saginaw, MI 48602-4727 | 989-583-0100 |
| LOCATION | 5570 STATE ST | Saginaw, MI 48603-3583 | 989-583-0100 |
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