THEODORA RUXANDRA NAE

GRAND RAPIDS, MI
NPI1780929018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006369)
Enumeration Date2012-11-27
Last Update Date2025-06-17
Business Address
THEODORA RUXANDRA NAE PA
4100 LAKE DR SE
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-7414
Mailing Address
THEODORA RUXANDRA NAE PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: