Individual
SYDNEY SHANNON COLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704376361
MI
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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