Individual
KATIE MARIE SONNEVELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 MICHIGAN ST NE, SUITE 4150, GRAND RAPIDS, MI 49503-2560
(616) 267-2600
(616) 267-2601
Mailing address
100 MICHIGAN ST. NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
22541
CA
363A00000X
Physician Assistant
Primary
5601007326
MI
Other
Enumeration date
09/10/2012
Last updated
03/02/2021
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