KATELYN MARIE PEASE

GRAND RAPIDS, MI
NPI1457230690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-09-01
Last Update Date2025-09-02
Business Address
KATELYN MARIE PEASE Physician Assistant
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503-2537
Phone number: 616-459-7258
Mailing Address
KATELYN MARIE PEASE Physician Assistant
19752 HAGGERTY RD APT 101
LIVONIA, MI 48152-1480
Phone number: 248-721-2106