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1013472695
MICAH NAHUM FOSTER
GRAND RAPIDS, MI
NPI
1013472695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008858)
Enumeration Date
2019-02-07
Last Update Date
2022-09-15
Business Address
MICAH NAHUM FOSTER PA-C
80 68TH ST SE
GRAND RAPIDS, MI 49548-6980
Phone number: 616-391-8242
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Mailing Address
MICAH NAHUM FOSTER PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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