DANITA GRACE VANDERKODDE

GRAND RAPIDS, MI
NPI1891996294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003191)
Enumeration Date2007-05-31
Last Update Date2021-02-17
Business Address
Mrs. DANITA GRACE VANDERKODDE PA-C
2750 E BELTLINE AVE NE FL 3
GRAND RAPIDS, MI 49525-8614
Phone number: 616-267-7104
Mailing Address
Mrs. DANITA GRACE VANDERKODDE PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: