Carrie Ruth Roberson, PA

NPI #1346248564 in Grand Haven, Michigan

Provider Information

NPI Number: 1346248564
Entity Type: Individual
Name: Carrie Ruth Roberson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 12, 2005
Last Updated: Jul 28, 2022

Practice Location

Address: 1600 S BEACON BLVD
City: Grand Haven
State: Michigan
ZIP Code: 49417-2654
Phone: (616) 344-1033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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