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Individual

KELLY JO WYSOCKI-EMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
233 FULTON ST E # 114E, GRAND RAPIDS, MI 49503-3200
(616) 485-6757
(616) 333-7710
Mailing address
335 BRIDGE ST NW APT 1400, GRAND RAPIDS, MI 49504-5393
(616) 485-6757
(616) 333-7710

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4704230542
MI

Other

Enumeration date
10/29/2011
Last updated
10/26/2022
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