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1811439763
DANIELLE SUSAN DOUGLASS
GRAND RAPIDS, MI
NPI
1811439763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2016-11-09
Last Update Date
2017-02-02
Business Address
-- DANIELLE SUSAN DOUGLASS PA-C
25 MICHIGAN ST NE SUITE 6100
GRAND RAPIDS, MI 49503-2515
Phone number: 616-267-7900
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Mailing Address
-- DANIELLE SUSAN DOUGLASS PA-C
100 MICHIGAN ST NE MC-845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-7900
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