Individual
MRS. ALEXANDRA JO FAASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 957-7706
Mailing address
2076 BRANDON DR NW, GRAND RAPIDS, MI 49504-4760
(616) 780-9868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
11/29/2023
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