CHANTELLE TANYA KOCH

GRAND RAPIDS, MI
NPI1891213336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601008328)
Enumeration Date2017-09-05
Last Update Date2021-02-25
Business Address
Mrs. CHANTELLE TANYA KOCH PA-C
145 MICHIGAN ST NE STE 5500
GRAND RAPIDS, MI 49503-2565
Phone number: 616-267-8540
Mailing Address
Mrs. CHANTELLE TANYA KOCH PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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