Individual
CALLIE MARIE RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8333 FELCH ST, ZEELAND, MI 49464-2608
(616) 391-2778
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008941
MI
Other
Enumeration date
01/07/2019
Last updated
11/07/2024
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