Virtual KSA: Care of Women Registration

Basic Information

* First Name

* Last Name

Degree / Designation

MDDOFAAFPOther

* City

* State

* Zip Code

* Phone Number

* Email Address

AAFP or ABFM I.D.

Special Needs

Non-member Physician - $299.00

Michigan Academy of Family Physicians | 2164 Commons Parkway | Okemos, MI 48864 | phone: 517.347.0098 | fax: 517.347.1289

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