SHELBY PETERSEN

GRAND RAPIDS, MI
NPI1245006709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601012426)
Enumeration Date2023-11-27
Last Update Date2024-07-22
Business Address
SHELBY PETERSEN
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546-2416
Phone number: 822-061-6988
Mailing Address
SHELBY PETERSEN
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546-2416
Phone number:
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