Individual
KATHERINE MARIE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
(616) 656-3701
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704280721
MI
Other
Enumeration date
07/23/2018
Last updated
06/18/2019
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