Individual
MRS. LORI ANN JAROSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 885-5000
(616) 885-5020
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007719
MI
363A00000X
Physician Assistant
MA052840
PA
363AM0700X
Medical Physician Assistant
50.002932
OH
363AS0400X
Surgical Physician Assistant
50.002932
OH
Other
Enumeration date
08/05/2007
Last updated
04/01/2024
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