Individual
MRS. MACENZIE JORDYN KONING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
751 KENMOOR AVE SE STE B, GRAND RAPIDS, MI 49546-2391
(616) 954-1895
Mailing address
8308 CLARKLAND DR SE, ALTO, MI 49302-9412
(616) 293-9970
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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