MY TU LY

GRAND RAPIDS, MI
NPI1962717850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005770)
Enumeration Date2010-08-16
Last Update Date2019-11-26
Business Address
MY TU LY PA-C
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-6220
Mailing Address
MY TU LY PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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