KATHRYN MARIE THELEN

GRAND RAPIDS, MI
NPI1558719807
Former NameKATHRYN COSTANTINI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601007795)
Enumeration Date2016-05-27
Last Update Date2019-11-20
Business Address
KATHRYN MARIE THELEN PA-C
1000 E PARIS AVE SE SUITE 200
GRAND RAPIDS, MI 49546-3691
Phone number: 616-685-3450
Mailing Address
KATHRYN MARIE THELEN PA-C
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546-8383
Phone number: 616-685-3450
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