CHRISTINA MARIA SUPINO

GRAND RAPIDS, MI
NPI1073192555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
(Licence: MI  5151014961)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-03
Last Update Date2022-06-06
Business Address
CHRISTINA MARIA SUPINO DO
4069 LAKE DR SE STE 312
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-8700
Mailing Address
CHRISTINA MARIA SUPINO DO
4069 LAKE DR SE STE 312
GRAND RAPIDS, MI 49546-8816
Phone number: