EMILY LUCILLE TEESDALE

GRAND RAPIDS, MI
NPI1982126009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704274128)
Enumeration Date2017-07-11
Last Update Date2022-07-20
Business Address
Mrs. EMILY LUCILLE TEESDALE A-GNP
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503-2563
Phone number: 616-391-9945
Mailing Address
Mrs. EMILY LUCILLE TEESDALE A-GNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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