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Individual

ERICA LYNNE PALMISANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3185 MACATAWA DR SW STE B, GRANDVILLE, MI 49418-3184
(616) 531-6900
Mailing address
3185 MACATAWA DR SW STE B, GRANDVILLE, MI 49418-3184
(616) 531-6900

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
036135083
IL
207K00000X
Allergy & Immunology Physician
Primary
4301501657
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036135083
IL
Enumeration date
04/06/2011
Last updated
09/16/2020
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