Individual
KATRINA M ROZEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S FRANKLIN ST, MT PLEASANT, MI 48859-2001
(989) 774-4000
Mailing address
1200 S FRANKLIN ST, MT PLEASANT, MI 48859-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010794
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6168219067
—
MI
Enumeration date
01/07/2021
Last updated
12/13/2021
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