GINA RENEE PETERSON

GRAND RAPIDS, MI
NPI1497005474
Former NameGINA RENEE BLODGETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006479)
Enumeration Date2012-09-17
Last Update Date2015-10-30
Business Address
-- GINA RENEE PETERSON PA
330 E BELTLINE AVE NE SUITE 100
GRAND RAPIDS, MI 49506-1267
Phone number: 616-752-6235
Mailing Address
-- GINA RENEE PETERSON PA
330 E BELTLINE AVE NE SUITE 100
GRAND RAPIDS, MI 49506-1267
Phone number: 616-752-6235
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