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1205253424
ELIZABETH HOUSE
GRAND RAPIDS, MI
NPI
1205253424
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Former Name
ELIZABETH WENDT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006926)
Enumeration Date
2014-03-26
Last Update Date
2021-02-17
Business Address
ELIZABETH HOUSE PA
4069 LAKE DR SE SUITE 312
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-8700
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Mailing Address
ELIZABETH HOUSE PA
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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