Individual
KATRINA ANN BRUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 MIDTOWNE ST NE STE 110, GRAND RAPIDS, MI 49503-5731
(616) 588-8880
Mailing address
3974 MCINTYRE CT SW, GRANDVILLE, MI 49418-1738
(320) 310-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008609
MI
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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