Individual
PAUL LOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 MICHIGAN ST NE, MC 103, SUITE 8830, GRAND RAPIDS, MI 49503-2560
(616) 459-7258
(616) 459-5215
Mailing address
100 MICHIGAN ST NE, MC 103, SUITE 8830, GRAND RAPIDS, MI 49503-2560
(616) 459-7258
(616) 459-5215
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601001939
MI
Other
Enumeration date
02/08/2006
Last updated
01/27/2011
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