Individual
ELLEN JENSINE JUNEWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-5609
(616) 267-8338
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601009426
MI
Other
Enumeration date
06/13/2019
Last updated
07/01/2024
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