Individual
KATI LOUISE PAFFHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 COLDBROOK ST NE, GRAND RAPIDS, MI 49503-1008
(616) 200-8495
Mailing address
2122 SANDSTONE DR, JENISON, MI 49428-7729
(616) 334-8854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285880
MI
Other
Enumeration date
09/18/2023
Last updated
10/20/2023
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