Individual
CHARIS JOY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
802 MERRITT ST SE, GRAND RAPIDS, MI 49507-3398
(616) 419-8117
Mailing address
802 MERRITT ST SE, GRAND RAPIDS, MI 49507-3398
(616) 419-8117
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
7601000108
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7601000108
LICENSED MIDWIFE
MI
Enumeration date
01/10/2023
Last updated
01/10/2023
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