EMILY BROOKE LORENZ

GRAND RAPIDS, MI
NPI1275991838
Former NameEMILY BROOKE WIEST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601007688)
Enumeration Date2016-02-10
Last Update Date2016-05-10
Business Address
-- EMILY BROOKE LORENZ PA-C
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-1835
Mailing Address
-- EMILY BROOKE LORENZ PA-C
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number: