Individual
ALAN D WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
957 BROOKHAVEN CT STE 3&4, MUSKEGON, MI 49442-3890
(231) 777-1916
(231) 773-8904
Mailing address
470 OAKHURST AVE NW, GRAND RAPIDS, MI 49504-4660
(616) 453-3359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704231084
MI
Other
Enumeration date
07/12/2016
Last updated
05/07/2026
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