Individual
GLENN WOUDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8333 FELCH ST, ZEELAND, MI 49464-2608
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041301911
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
4704199728
MI
Other
Enumeration date
07/11/2006
Last updated
10/17/2024
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