Individual
TAWNA W VALLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
2700 BAKER ST, 3RD FLOOR, MUSKEGON, MI 49444-2157
(231) 733-6607
(231) 737-0534
Mailing address
2700 BAKER ST, 3RD FLOOR, MUSKEGON, MI 49444-2157
(231) 733-6607
(231) 737-0534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002959
MI
Other
Enumeration date
07/27/2006
Last updated
03/10/2011
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