George Roland Over PA-C

NPI 1366580417 - Physician Assistant - 363AM0700X

NPI Details
NPI 1366580417
Gender Male
Enumeration Date 02/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1115 S PENNSYLVANIA AVE
LANSING MI, 48912-1669, US
Phone (517) 346-4700
Fax
Business Location
2541 S SHORE DR
CRYSTAL MI, 48818-9688, US
Phone (517) 346-4700
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Michigan
License Number 5601002284
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According to our database, George Roland Over PA-C NPI is 1366580417, taxonomy code is 363AM0700X and license number is 5601002284, license state is located at Michigan. George Roland Over PA-C physically located at 1115 S Pennsylvania Ave, Lansing MI, 48912-1669. NPI Number George Roland Over PA-C has the Individual type.

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1366580417 NPI number is provided on an as is basis without warranty of any kind. 1366580417 is maintained by the National Plan & Provider Enumeration System. The contents of George Roland Over PA-C are for informational purposes only.