Individual
DR. KIMBERLY BAIN MITCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3152 PORT SHELDON ST STE C, HUDSONVILLE, MI 49426-9297
(616) 669-9238
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101014563
MI
Other
Enumeration date
08/18/2006
Last updated
03/01/2022
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