Individual
ADAM MOLLHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
1750 GRAND RIDGE CT NE STE 200, GRAND RAPIDS, MI 49525-7043
(616) 426-9034
Mailing address
3270 DAWES AVE SE, GRAND RAPIDS, MI 49508-1538
(616) 633-2717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022815
MI
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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