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Individual

MRS. BETH ANNE RICHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1730
Mailing address
PO BOX 30516, LANSING, MI 48909-8016

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5601007309
MI
363A00000X
Physician Assistant
5601007309
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1101028
NCCPA CERTIFICATION
Enumeration date
01/06/2012
Last updated
12/20/2023
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