Individual
MRS. TARI KRUZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12955 3RD AVE NW, GRAND RAPIDS, MI 49534
(616) 262-7701
Mailing address
12955 3RD AVE NW, GRAND RAPIDS, MI 49534
(616) 262-7701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704164250
MI
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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