Individual
MISS TAMIE MARIE WIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Mailing address
385 LEONARD STREET NE, GRAND RAPIDS, MI 49503
(616) 454-4777
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704245428
MI
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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