Individual
THERESA K STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2373 64TH ST SW, STE 1300, BYRON CENTER, MI 49315-7974
(616) 685-1350
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704182692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059750A
—
OK
05
—
132360799
—
AR
01
—
5X927
AR BCBS
AR
Enumeration date
07/15/2006
Last updated
07/13/2015
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