Individual
LISA DIANE THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 MERCY DR, MUSKEGON, MI 49444-1837
(734) 936-7030
(231) 739-8932
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006610
MI
Other
Enumeration date
01/29/2013
Last updated
05/17/2021
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