Individual
NATHAN BIESZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3671 SENORA AVE SE, GRAND RAPIDS, MI 49508-5501
(419) 439-1218
(616) 773-1838
Mailing address
3671 SENORA AVE SE, GRAND RAPIDS, MI 49508-5501
(419) 439-1218
(616) 773-1838
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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