MEGAN CHRISTINA LATHAM

GRAND RAPIDS, MI
NPI1912364100
Former NameMEGAN CHRISTINA HAUCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601007649)
Enumeration Date2016-01-20
Last Update Date2016-02-15
Business Address
-- MEGAN CHRISTINA LATHAM PAC
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-6781
Mailing Address
-- MEGAN CHRISTINA LATHAM PAC
PO BOX 3578
GRAND RAPIDS, MI 49501-3578
Phone number: 616-685-6781
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