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Individual

MOLLY JEAN PAULSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2849 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49506-1216
(616) 285-6450
(616) 285-6455
Mailing address
2126 3 MILE RD NE, GRAND RAPIDS, MI 49505-3442
(616) 363-9280

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003048
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601003048
PHYSICIAN ASSISTANT LICEN
MI
Enumeration date
05/17/2007
Last updated
03/07/2023
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