LAURA HAIST BOSE

GRAND RAPIDS, MI
NPI1326448341
Former NameLAURA SANDOE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601007092)
Enumeration Date2014-08-27
Last Update Date2022-03-09
Business Address
LAURA HAIST BOSE PA-C
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503-2537
Phone number: 616-459-7258
Mailing Address
LAURA HAIST BOSE PA-C
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: