# CROSSROADS HEALING ARTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528154895
- **Authorized official:** TAMMY L GEURKINK BORN DO (OWNER)
- **Authorized official phone:** (616) 656-3700

## Contact information

- **Practice address:** 21764 OMEGA CT, GOSHEN, IN 46528-7809
- **Practice address phone:** (574) 875-4227
- **Practice address fax:** (574) 875-7828
- **Mailing address:** 3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
- **Mailing address phone:** (616) 656-3700
- **Mailing address fax:** (616) 656-3701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020