Individual
COURTNEY THENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
3380 44TH ST SW, GRANDVILLE, MI 49418-2461
(616) 685-1200
(616) 685-1211
Mailing address
3380 44TH ST SW, GRANDVILLE, MI 49418-2461
(616) 685-1200
(616) 685-1211
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002545
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002545
MI
Other
Enumeration date
06/12/2014
Last updated
12/08/2021
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