KATHERINE ELEANOR DERTZ

GRAND RAPIDS, MI
NPI1104276021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4301109765)
Enumeration Date2016-06-22
Last Update Date2016-10-25
Business Address
Dr. KATHERINE ELEANOR DERTZ M.D.
945 OTTAWA AVE NW
GRAND RAPIDS, MI 49503-1431
Phone number: 616-391-1929
Mailing Address
Dr. KATHERINE ELEANOR DERTZ M.D.
945 OTTAWA AVE NW
GRAND RAPIDS, MI 49503-1431
Phone number: 616-391-1929
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