BARBARA DAVENPORT FREDERICK

GRAND RAPIDS, MI
NPI1932516515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704233662)
Enumeration Date2014-07-16
Last Update Date2023-09-08
Business Address
BARBARA DAVENPORT FREDERICK NP-C
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-6220
Mailing Address
BARBARA DAVENPORT FREDERICK NP-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: