Individual
CINDY BILISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4444 KALAMAZOO AVE SE, SUITE 200, GRAND RAPIDS, MI 49508-4600
(616) 391-5600
(616) 391-5685
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704182174
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4222357
—
MI
Enumeration date
12/14/2005
Last updated
03/04/2021
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