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Individual

DR. KATERINA GEORGIA KATSOULIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9334
(616) 364-1500
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0842
(616) 558-5864

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301509123
MI
2084P0800X
Psychiatry Physician
4351044677
MI

Other

Enumeration date
05/21/2019
Last updated
01/15/2024
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