Individual
MRS. SHARON EILEEN POSSEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2093 HEALTH DR SW, SUITE 202, WYOMING, MI 49519-9691
(616) 459-4171
(616) 459-0044
Mailing address
25 MICHIGAN ST NE, SUITE 3300, GRAND RAPIDS, MI 49503-2515
(616) 459-4171
(616) 459-4171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704145687
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382285194
TAX ID
MI
Enumeration date
12/04/2014
Last updated
12/09/2014
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