Lori Sue Nieboer, P.A.-C

NPI #1174810667 in Rockford, Michigan

Provider Information

NPI Number
1174810667
Entity Type
Individual
Name
Lori Sue Nieboer, P.A.-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
P.A.-C
Enumeration Date
Jul 5, 2011
Last Updated
Feb 2, 2023

Practice Location

Address
4685 BELDING RD NE
ZIP Code
49341-9605
Phone
(616) 252-3100

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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