Individual
KATHERINE SUZANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1108 W STATE ST STE 3, HASTINGS, MI 49058-9711
(269) 945-0922
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006137
MI
Other
Enumeration date
09/23/2011
Last updated
11/04/2024
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