Individual
MICHELLE LYNN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6701 PAW PAW AVE, COLOMA, MI 49038-9519
(269) 463-3600
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704251378
MI
Other
Enumeration date
02/24/2022
Last updated
08/14/2023
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