ROSS KOOIENGA

GRAND RAPIDS, MI
NPI1992158745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-07-18
Last Update Date2021-02-25
Business Address
ROSS KOOIENGA PA-C
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
Mailing Address
ROSS KOOIENGA PA-C
100 MICHIGAN ST NE MAIL CODE 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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