Individual
MS. CASSIDY JAE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4289 E MAPLE RIDGE 37TH RD, ROCK, MI 49880-9582
(906) 420-4759
Mailing address
545 COUNTY ROAD HQ, MARQUETTE, MI 49855-8855
(906) 273-0072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012721
MI
Other
Enumeration date
09/12/2024
Last updated
09/26/2024
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