REGINA R KOORNDYK

GRAND RAPIDS, MI
NPI1417050535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004505)
Enumeration Date2006-09-06
Last Update Date2021-02-25
Business Address
REGINA R KOORNDYK PA
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546-8292
Phone number: 616-391-3759
Mailing Address
REGINA R KOORNDYK PA
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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