Individual
DR. KADIE ANN KOOLWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5500 NORTHLAND DR NE, GRAND RAPIDS, MI 49525-1064
(616) 364-9451
Mailing address
5873 KINGSFIELD DR, WEST BLOOMFIELD, MI 48322-1479
(248) 996-7645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600589
MI
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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