Individual
LAURA KOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 36TH ST SW, WYOMING, MI 49509-4002
(616) 531-1871
Mailing address
585 36TH ST SW, WYOMING, MI 49509-4002
(616) 531-1871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003417
MI
Other
Enumeration date
08/24/2006
Last updated
02/01/2018
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