DANIEL J STALSONBURG

GRAND RAPIDS, MI
NPI1720169246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004692)
Enumeration Date2006-10-18
Last Update Date2011-01-31
Business Address
-- DANIEL J STALSONBURG PA
100 MICHIGAN AVE.NW SUITE A721
GRAND RAPIDS, MI 49503
Phone number: 616-974-4493
Mailing Address
-- DANIEL J STALSONBURG PA
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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