Individual
BRENDA IRENE RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
2012 28TH ST SE STE C, GRAND RAPIDS, MI 49508-1532
(616) 446-6114
Mailing address
2012 28TH ST SE STE C, GRAND RAPIDS, MI 49508-1532
(616) 446-6114
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
02/27/2020
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