Organization
GRAND RAPIDS NATURAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY HASSBERGER N.D. (OWNER)
(616) 264-6556
Entity
Organization
Contact information
Practice address
638 FULTON STREET W., GRAND RAPIDS, MI 49504
(616) 264-5665
Mailing address
638 FULTON STREET W., GRAND RAPIDS, MI 49504
(616) 264-5665
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
099.0102887
VT
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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