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1538582283
MARIBETH ANNE OTIS
GRAND RAPIDS, MI
NPI
1538582283
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Former Name
MARIBETH ANNE FISHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006930)
Enumeration Date
2014-01-31
Last Update Date
2024-05-06
Business Address
MARIBETH ANNE OTIS PA-C
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-8520
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Mailing Address
MARIBETH ANNE OTIS PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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