Individual
JOHANNA-LEE ORCA-HANDYSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 HILL ST STE 100, THREE RIVERS, MI 49093-2744
(269) 273-8511
Mailing address
608 COTTAGE, STURGIS, MI 49091-2206
(269) 689-9041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010072TMP20
MI
Other
Enumeration date
10/13/2020
Last updated
08/05/2024
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