Individual
LISA MARYANN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST STE M-351, KALAMAZOO, MI 49007-5358
(269) 341-6900
Mailing address
960 DAYTON ST SW, GRAND RAPIDS, MI 49504-6267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011581
MI
Other
Enumeration date
03/27/2023
Last updated
07/10/2023
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