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Individual

KAY L AARDEMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6258
Mailing address
PO BOX 1629, LIMA, OH 45802-1629
(877) 378-4293
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301063289
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407840051
MI
05
4158640
MI
Enumeration date
09/09/2005
Last updated
03/03/2022
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