Individual
ELIZABETH R KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1003 N LAFAYETTE ST, STE. 200, GREENVILLE, MI 48838-1136
(616) 754-3001
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004771
MI
Other
Enumeration date
11/17/2006
Last updated
01/31/2011
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