LORRIE JEAN OLDHAM

GRAND RAPIDS, MI
NPI1295789790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MI  5101013310)
Additional Taxonomies208600000X Surgery
(Licence: MI  5101013310)
Enumeration Date2006-05-19
Last Update Date2008-05-23
Business Address
-- LORRIE JEAN OLDHAM DO
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-752-6090
Mailing Address
-- LORRIE JEAN OLDHAM DO
245 STATE ST SE STE 1A
GRAND RAPIDS, MI 49503-4328
Phone number: 616-913-1808