Individual
MADISON GRACE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7978 COUNTY FARM RD, GREENVILLE, MI 48838-9774
(616) 862-2491
Mailing address
7978 COUNTY FARM RD, GREENVILLE, MI 48838-9774
(616) 862-2491
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
06/25/2024
Last updated
12/23/2024
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