Individual
BROOKE ELISABETH FEIRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE BLDG A, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
(616) 235-0979
Mailing address
97 W 22ND ST, HOLLAND, MI 49423-4771
(616) 796-0685
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
07/10/2023
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