Individual
KRISTEN DIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 GULL RD, KALAMAZOO, MI 49048-1650
(269) 226-5927
Mailing address
1001 6TH ST NW, GRAND RAPIDS, MI 49504-4332
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704288015
MI
Other
Enumeration date
07/15/2016
Last updated
03/04/2021
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