Individual
MARY BETH KRETSCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7199
Mailing address
4757 FRUIT RIDGE AVE NW, GRAND RAPIDS, MI 49544-9787
(616) 581-6479
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502002683
MI
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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