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Individual

DANIELLE PLOETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5576
(616) 685-8910
Mailing address
41 BENJAMIN AVE SE #1, GRAND RAPIDS, MI 49506

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006989
MI

Other

Enumeration date
05/23/2014
Last updated
10/10/2017
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