EVAN GERONDALE

GRAND RAPIDS, MI
NPI1336730662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601010425)
Enumeration Date2021-01-29
Last Update Date2022-04-14
Business Address
EVAN GERONDALE PA
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546-6204
Phone number: 616-949-5600
Mailing Address
EVAN GERONDALE PA
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546-6204
Phone number: 616-949-5600
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