SHANA GOETTING BROXUP

GRAND RAPIDS, MI
NPI1326715202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601010535TMP21)
Enumeration Date2021-08-27
Last Update Date2021-08-27
Business Address
SHANA GOETTING BROXUP PA
3230 EAGLE PARK DR NE STE 100
GRAND RAPIDS, MI 49525-7047
Phone number: 616-988-2229
Mailing Address
SHANA GOETTING BROXUP PA
8550 MOUNTAIN PINE LN
KALAMAZOO, MI 49009-4992
Phone number: 517-896-9426
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