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1043291941
KATHI RAE LOTTERMAN
GRAND RAPIDS, MI
NPI
1043291941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601001917)
Enumeration Date
2005-11-08
Last Update Date
2014-09-15
Business Address
-- KATHI RAE LOTTERMAN PA-C
3355 EAGLE PARK DR NE SUITE 103
GRAND RAPIDS, MI 49525-7004
Phone number: 616-942-7400
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Mailing Address
-- KATHI RAE LOTTERMAN PA-C
PO BOX 1239
TROY, MI 48099-1239
Phone number: 248-824-6600
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