Individual
MRS. HEATHER LYNN GRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
145 MICHIGAN ST NE STE 3140, GRAND RAPIDS, MI 49503-2562
(616) 391-9945
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704284671
MI
Other
Enumeration date
07/15/2015
Last updated
08/15/2022
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