IAN DEGRAM

GRAND RAPIDS, MI
NPI1073314043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  2545130259)
Enumeration Date2025-03-24
Last Update Date2025-03-24
Business Address
IAN DEGRAM PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
Mailing Address
IAN DEGRAM PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790