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1497411623
MICHELLE LYNN MAGNUSSON
GRAND RAPIDS, MI
NPI
1497411623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010911)
Enumeration Date
2021-11-11
Last Update Date
2022-04-06
Business Address
MICHELLE LYNN MAGNUSSON PA
35 MICHIGAN ST NE STE 4150
GRAND RAPIDS, MI 49503-2529
Phone number: 616-267-2600
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Mailing Address
MICHELLE LYNN MAGNUSSON PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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