MIKE B VISSER

GRAND RAPIDS, MI
NPI1689694341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601001814)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- MIKE B VISSER PA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-8810
Mailing Address
-- MIKE B VISSER PA
100 MICHIGAN ST NE MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503-2560
Phone number:
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