Individual
KATHERINE MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49505-5092
(616) 336-8800
Mailing address
1211 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49505-5092
(616) 336-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009210
MI
Other
Enumeration date
06/13/2019
Last updated
03/24/2022
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