Individual
ELIZABETH DOEZEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
(616) 774-2044
Mailing address
303 MANZANA CT NW, APT. 1A, WALKER, MI 49534-8428
(231) 360-6929
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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