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Individual

LAURA MUNCIE SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., PA-C

Contact information

Practice address
221 MICHIGAN ST NE STE 400, GRAND RAPIDS, MI 49503-2538
(616) 486-9600
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006066
MI
363A00000X
Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
5601006066
MI

Other

Enumeration date
07/06/2011
Last updated
03/23/2026
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