LONNA PETRONELLA VAN AST

GRAND RAPIDS, MI
NPI1093028441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601002990)
Enumeration Date2010-07-14
Last Update Date2013-07-29
Business Address
Mrs. LONNA PETRONELLA VAN AST P.A.
1022 ADA PLACE DR SE
GRAND RAPIDS, MI 49546-3786
Phone number: 616-550-0427
Mailing Address
Mrs. LONNA PETRONELLA VAN AST P.A.
1022 ADA PLACE DR SE
GRAND RAPIDS, MI 49546-3786
Phone number:
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