Individual
KRISTINA LOUISE OOSTERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005775
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689994949
—
MI
Enumeration date
06/09/2010
Last updated
01/17/2020
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