Individual
EMILY RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3877
(734) 671-3465
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007911
MI
Other
Enumeration date
09/02/2016
Last updated
05/15/2019
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