Individual
ETHAN E WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704384121
MI
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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