ANDRE LANE PRIDE

BATTLE CREEK, MI
NPI1881961027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006117)
Enumeration Date2011-11-16
Last Update Date2012-05-30
Business Address
Mr. ANDRE LANE PRIDE PAC
300 NORTH AVE
BATTLE CREEK, MI 49017-3307
Phone number: 269-966-8000
Mailing Address
Mr. ANDRE LANE PRIDE PAC
125 S KALAMAZOO MALL STE 204
KALAMAZOO, MI 49007-4869
Phone number: 866-898-7139