Individual
EMILY LOUISE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1471 EAST BELTLINE NE, STE 201, GRAND RAPIDS, MI 49525
(616) 685-8620
(616) 447-7674
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508
(616) 685-8620
(616) 447-7674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006851
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/20/2011
Last updated
12/27/2021
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