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1275991838
EMILY BROOKE LORENZ
GRAND RAPIDS, MI
NPI
1275991838
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Former Name
EMILY BROOKE WIEST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007688)
Enumeration Date
2016-02-10
Last Update Date
2016-05-10
Business Address
-- EMILY BROOKE LORENZ PA-C
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-1835
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Mailing Address
-- EMILY BROOKE LORENZ PA-C
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number:
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