Individual
EVAN JAMES VAN NORTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2024 FEATHERY CT SE, GRAND RAPIDS, MI 49546-9023
(616) 322-1000
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303354
MI
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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