JONATHAN P CORLEY

GRAND RAPIDS, MI
NPI1356696280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2012-07-17
Last Update Date2012-07-24
Business Address
-- JONATHAN P CORLEY PA-C
4100 EMBASSY DR SE SUITE 200
GRAND RAPIDS, MI 49546-2416
Phone number: 616-975-1845
Mailing Address
-- JONATHAN P CORLEY PA-C
224 PECAN PARK AVE
ALEXANDRIA, LA 71303-3308
Phone number: 318-427-7900