Individual
BRITTA SAMUELSON FESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 GLADSTONE DR SE, GRAND RAPIDS, MI 49506-3949
(989) 295-2828
Mailing address
1315 GLADSTONE DR SE, GRAND RAPIDS, MI 49506-3949
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113938
MI
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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