Individual
EMMA LEIGH FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 776-5316
Mailing address
N6702 STATE HIGHWAY M95, IRON MOUNTAIN, MI 49801-8906
(906) 204-0916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008399
MI
Other
Enumeration date
09/14/2017
Last updated
11/11/2019
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