MARY KOENEN

GRAND RAPIDS, MI
NPI1184777682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  MK4704154566)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
-- MARY KOENEN F.N.P.
72 SHELDON BLVD SE
GRAND RAPIDS, MI 49503-4234
Phone number: 616-988-8774
Mailing Address
-- MARY KOENEN F.N.P.
72 SHELDON BLVD SE
GRAND RAPIDS, MI 49503-4234
Phone number: 616-988-8774