Individual
MRS. LAURA ANN HOVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
721 3 MILE RD NW STE 200, GRAND RAPIDS, MI 49544-8224
(616) 647-3770
(616) 647-3776
Mailing address
721 3 MILE RD NW STE 200, GRAND RAPIDS, MI 49544-8224
(616) 647-3770
(616) 647-3776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601002138
LICENSE
MI
Enumeration date
09/22/2006
Last updated
07/08/2007
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