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Individual

HALLI DISBROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3500 LAKE DR SE, GRAND RAPIDS, MI 49546-4310
(616) 475-7577
Mailing address
3500 LAKE DR SE, GRAND RAPIDS, MI 49546-4310

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013927
MI
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/02/2021
Last updated
05/07/2026
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