Individual
KELLY ANNE BRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNM
Contact information
Practice address
80 68TH ST SE STE 301, GRAND RAPIDS, MI 49548-6980
(616) 391-3302
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704330667
MI
Other
Enumeration date
05/12/2022
Last updated
08/26/2024
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