LAURA A DATEMA

GRAND RAPIDS, MI
NPI1861153736
Former NameLAURA A ODDO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704286319)
Enumeration Date2022-01-04
Last Update Date2024-04-29
Business Address
LAURA A DATEMA CNP
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503-2559
Phone number: 616-267-9150
Mailing Address
LAURA A DATEMA CNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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