EMILY LOUISE SPARKS

GRAND RAPIDS, MI
NPI1043592777
Former NameEMILY LOUISE DANNISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006851)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2011-09-20
Last Update Date2021-12-27
Business Address
EMILY LOUISE SPARKS PA-C
1471 EAST BELTLINE NE STE 201
GRAND RAPIDS, MI 49525
Phone number: 616-685-8620
Mailing Address
EMILY LOUISE SPARKS PA-C
1900 44TH ST SE
KENTWOOD, MI 49508
Phone number: 616-685-8620