Individual
ANGELA BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
646 S WAVERLY RD, HOLLAND, MI 49423-9121
(616) 796-6500
Mailing address
4085 BURTON ST SE, S-200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004157
MI
Other
Enumeration date
06/09/2006
Last updated
09/17/2009
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