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1679904379
TARA BROOKE SCHULTZ
GRAND RAPIDS, MI
NPI
1679904379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704320597)
Enumeration Date
2013-12-05
Last Update Date
2021-02-24
Business Address
TARA BROOKE SCHULTZ
25 MICHIGAN ST NE SUITE 6100
GRAND RAPIDS, MI 49503-2515
Phone number: 616-267-7900
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Mailing Address
TARA BROOKE SCHULTZ
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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