Individual
CATHERINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1545 68TH ST SE STE 200, GRAND RAPIDS, MI 49508-7896
(616) 447-5820
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010909
MI
Other
Enumeration date
12/29/2020
Last updated
09/26/2022
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