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1417907874
TERESA L WAINSCOTT
GRAND RAPIDS, MI
NPI
1417907874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601001788)
Enumeration Date
2006-05-10
Last Update Date
2023-05-01
Business Address
TERESA L WAINSCOTT PA
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503-2537
Phone number: 616-459-7258
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Mailing Address
TERESA L WAINSCOTT PA
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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