STACEY MARIE OMILJAN

GRAND RAPIDS, MI
NPI1972005668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501018376)
Enumeration Date2018-03-08
Last Update Date2020-08-12
Business Address
STACEY MARIE OMILJAN DPT
5060 CASCADE RD SE STE A
GRAND RAPIDS, MI 49546-3808
Phone number: 616-954-0950
Mailing Address
STACEY MARIE OMILJAN DPT
5060 CASCADE RD SE STE A
GRAND RAPIDS, MI 49546-3808
Phone number: 616-954-0950