KELLY ROSE MIKAIL

GRAND RAPIDS, MI
NPI1497075766
Former NameKELLY ANTHONY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601005774)
Enumeration Date2010-06-09
Last Update Date2021-02-18
Business Address
KELLY ROSE MIKAIL PA-C
4100 LAKE DR SE SUITE 200
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-7293
Mailing Address
KELLY ROSE MIKAIL PA-C
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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