Individual
KARYN ROCHELLE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
221 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49503-2543
(616) 391-8635
(616) 391-8621
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 391-8635
(616) 391-8621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704249006
MI
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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