LOGAN J MIRANDETTE

GRAND RAPIDS, MI
NPI1699305888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-01-16
Last Update Date2023-02-27
Business Address
LOGAN J MIRANDETTE PA-C
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Mailing Address
LOGAN J MIRANDETTE PA-C
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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