Individual
MELISSA OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4021 KEEWEENAW DR NE, GRAND RAPIDS, MI 49525-2052
(503) 754-0866
Mailing address
4021 KEEWEENAW DR NE, GRAND RAPIDS, MI 49525-2052
(503) 754-0866
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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