Individual
JOANNE ROZEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6105 WILSON AVE SW, SUITE 204, GRANDVILLE, MI 49418-9714
(616) 486-5421
(616) 486-5051
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704082062
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113497
—
MI
Enumeration date
12/14/2005
Last updated
10/26/2012
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