LISA VAN DORP

MIDLAND, MI
NPI1407227820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601007489)
Enumeration Date2015-10-12
Last Update Date2019-11-06
Business Address
LISA VAN DORP PA
4000 WELLNESS DR
MIDLAND, MI 48670-2000
Phone number: 989-839-3000
Mailing Address
LISA VAN DORP PA
5802 S HERITAGE CT
MIDLAND, MI 48640-3128
Phone number: 586-917-8237
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