ALEXANDER MERVENNE

GRAND RAPIDS, MI
NPI1497447262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: MI  789789817)
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
ALEXANDER MERVENNE CAA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-364-4200
Mailing Address
ALEXANDER MERVENNE CAA
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9493
Phone number: 616-364-4200
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