CLAIR ANNE TRAVIS

GRAND RAPIDS, MI
NPI1609137983
Former NameCLAIR ANNE COOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006346)
Enumeration Date2012-06-04
Last Update Date2023-05-01
Business Address
CLAIR ANNE TRAVIS PAC
4069 LAKE DR SE
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-7499
Mailing Address
CLAIR ANNE TRAVIS PAC
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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