Individual
GENEVIEVE ELIZABETH SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8333 FELCH ST STE 200, ZEELAND, MI 49464
(616) 748-2850
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
03/02/2021
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