KELLY ELIZABETH EGGIMAN

GRAND RAPIDS, MI
NPI1811232879
Former NameKELLY ELIZABETH O'BRIEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006558)
Enumeration Date2012-12-03
Last Update Date2012-12-03
Business Address
-- KELLY ELIZABETH EGGIMAN
100 MICHIGAN ST NE SUITE A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
Mailing Address
-- KELLY ELIZABETH EGGIMAN
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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