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Individual

KIMBERLY R RESSEGUIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F-NP

Contact information

Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704206746
MI
363L00000X
Nurse Practitioner
Primary
4704206746
MI

Other

Enumeration date
06/02/2012
Last updated
02/05/2019
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