SAMUEL TERRANOVA

GRAND RAPIDS, MI
NPI1154201689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MI  4704356674)
Enumeration Date2025-09-04
Last Update Date2025-09-04
Business Address
-- SAMUEL TERRANOVA NP
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-8602
Phone number: 800-865-4098
Mailing Address
-- SAMUEL TERRANOVA NP
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-8602
Phone number: 800-865-4098