Individual
NICHOLE ANNE BUNDSCHUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9090 S RODGERS CT SE STE A, CALEDONIA, MI 49316-8052
(616) 891-0422
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704294513
MI
Other
Enumeration date
10/19/2017
Last updated
02/19/2021
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