KATHERINE DEFOUW

GRAND RAPIDS, MI
NPI1467869859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704251605)
Enumeration Date2014-07-17
Last Update Date2021-03-02
Business Address
KATHERINE DEFOUW
230 MICHIGAN ST NE SUITE 230
GRAND RAPIDS, MI 49503-2550
Phone number: 616-774-2822
Mailing Address
KATHERINE DEFOUW
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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