Organization
WOMENS HEALTH COLLECTIVE
Active
Other names
Women's Health Collective
Organization subpart
No
Provider details
NPI number
Authorized official
NISHA MCKENZIE PA-C (FOUNDER AND OWNER)
(616) 600-4950
Entity
Organization
Contact information
Practice address
630 KENMOOR AVE SE STE 103, GRAND RAPIDS, MI 49546-8626
(616) 581-0772
Mailing address
630 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-8626
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
01/11/2021
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