Individual
PARKER RAY H-E STAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(855) 407-7575
Mailing address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
2011956
MI
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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