Organization
EDWIN F. KREMER, PH.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SUE REIDZANS (OFFICE MANAGER)
(616) 459-8971
Entity
Organization
Contact information
Practice address
750 FRONT AVE NW, SUITE 311, GRAND RAPIDS, MI 49504-4400
(616) 459-8971
(616) 459-2361
Mailing address
750 FRONT STREET NW, SUITE 311, GRAND RAPIDS, MI 49504
(616) 459-8971
(616) 459-2361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801089574
MI
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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