License Directory

Thomas Provo Pfotenhauer

Active

Michigan license 5101020364

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
5101020364
Status
Active
First issued
June 13, 2016
Expires
June 13, 2029
License holder
Thomas Provo Pfotenhauer
Entity type
Individual

Classifications

Contact

602 Michigan Ave
Holland Hospital - Hospital Medicine
Holland, MI 49423
Ottawa County