Individual
DAYNA ROEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2680 LEONARD ST NE, GRAND RAPIDS, MI 49525-6934
(616) 224-1515
Mailing address
5757 22ND AVE, HUDSONVILLE, MI 49426-9444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006732
MI
Other
Enumeration date
08/31/2013
Last updated
07/13/2016
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