DARBY RAE DISSELKOEN

ZEELAND, MI
NPI1316618382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704320802)
Enumeration Date2021-09-21
Last Update Date2021-12-13
Business Address
DARBY RAE DISSELKOEN DNP, APRN, CPNP-PC
8333 FELCH ST STE 200
ZEELAND, MI 49464-2609
Phone number: 616-748-2850
Mailing Address
DARBY RAE DISSELKOEN DNP, APRN, CPNP-PC
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: