ALEXANDRA KATHERINE SHIELDS

GRAND RAPIDS, MI
NPI1700319647
Former NameALEXANDRA KATHERINE OLDS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-04-07
Last Update Date2023-01-18
Business Address
ALEXANDRA KATHERINE SHIELDS PA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-2802
Mailing Address
ALEXANDRA KATHERINE SHIELDS PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: