Individual
CARRIE RUTH ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 S BEACON BLVD, GRAND HAVEN, MI 49417-2654
(616) 344-1033
Mailing address
1600 S BEACON BLVD, GRAND HAVEN, MI 49417-2654
(616) 344-1033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003155
MI
Other
Enumeration date
07/12/2005
Last updated
07/28/2022
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