Individual
MICHELLE MIZE EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 MIDTOWNE ST NE, SUITE 301, GRAND RAPIDS, MI 49503-5729
(616) 248-8864
(616) 248-8874
Mailing address
555 MIDTOWNE ST NE, SUITE 301, GRAND RAPIDS, MI 49503-5729
(616) 248-8864
(616) 248-8874
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301067139
MI
Other
Enumeration date
02/03/2006
Last updated
01/10/2013
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