Individual
DR. ANN ELISABETH VICTORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 JEFFERSON SE, GRAND RAPIDS, MI 49503
(616) 685-5039
(616) 685-8910
Mailing address
245 STATE ST SE, STE 228, GRAND RAPIDS, MI 49503
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301092519
MI
Other
Enumeration date
08/26/2008
Last updated
10/14/2011
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