Individual
AARON KOOIENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
382 120TH AVE, HOLLAND, MI 49424-2186
(616) 396-6516
Mailing address
6669 64TH AVE, HUDSONVILLE, MI 49426-9545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704407090
MI
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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