KORTNE CUSTER

GRAND RAPIDS, MI
NPI1881844777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005349)
Enumeration Date2008-09-26
Last Update Date2015-01-09
Business Address
-- KORTNE CUSTER P.A. -C
555 MIDTOWNE ST NE
GRAND RAPIDS, MI 49503-5729
Phone number: 616-588-8880
Mailing Address
-- KORTNE CUSTER P.A. -C
3140 HALL ST SE
GRAND RAPIDS, MI 49506-3171
Phone number: 616-634-9195