Individual
MARIANNE MULLINS-MACRITCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 486-7057
Mailing address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501003918
MI
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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