Individual
MS. MAUREEN THERESE ALBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
(616) 281-6459
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005605
MI
363AM0700X
Medical Physician Assistant
5601005605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306179494
—
MI
Enumeration date
09/08/2009
Last updated
04/02/2020
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