Individual
SERENA KNOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MICHIGAN ST NE, FLOOR 3W, MC 035, GRAND RAPIDS, MI 49503-2560
(616) 391-1714
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704211635
MI
Other
Enumeration date
11/20/2014
Last updated
02/25/2021
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