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1316428436
LISA MARIE MARTIN
GRAND RAPIDS, MI
NPI
1316428436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010696)
Enumeration Date
2018-08-27
Last Update Date
2021-12-13
Business Address
LISA MARIE MARTIN PA-C
145 MICHIGAN ST NE STE 5500
GRAND RAPIDS, MI 49503-2565
Phone number: 616-267-8540
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Mailing Address
LISA MARIE MARTIN PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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