Individual
JULIE ANNE VERDUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 S STATE ST, SPARTA, MI 49345-1549
(616) 887-5989
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007714
MI
Other
Enumeration date
03/10/2016
Last updated
03/31/2022
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