Individual
ANDREA ELIZABETH ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
MI
Other
Enumeration date
04/26/2021
Last updated
12/30/2021
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