Individual
NAN BETH ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 44TH STREET, S.W., GRANDVILLE, MI 49418
(616) 457-1889
(616) 457-1891
Mailing address
151 44TH STREET, S.W., GRANDVILLE, MI 49418
(616) 457-1889
(616) 457-1891
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301045669
MI
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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