Individual
MR. ANDRE LANE PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
300 NORTH AVE, BATTLE CREEK, MI 49017-3307
(269) 966-8000
(937) 619-4150
Mailing address
125 S KALAMAZOO MALL STE 204, KALAMAZOO, MI 49007-4869
(866) 898-7139
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006117
MI
Other
Enumeration date
11/16/2011
Last updated
05/30/2012
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