Individual
PAYTON BRUURSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12263 JAMES ST, HOLLAND, MI 49424-8613
(616) 494-5423
Mailing address
3300 36TH ST SE, KENTWOOD, MI 49512-2810
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2020
Last updated
04/04/2023
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