MELISSA A KOOISTRA

GRAND RAPIDS, MI
NPI1346260007
Former NameMELISSA A VANTOL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004250)
Enumeration Date2006-07-19
Last Update Date2025-05-15
Business Address
MELISSA A KOOISTRA PA
3940 PENINSULAR DRIVE SE STE 230
GRAND RAPIDS, MI 49546-6187
Phone number: 616-366-4234
Mailing Address
MELISSA A KOOISTRA PA
3940 PENINSULAR DRIVE SE STE 230
GRAND RAPIDS, MI 49546-6187
Phone number: 616-366-4234
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