Individual
BRIAN RICHARD KOOIKER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6909 CANNONSBURG RD NE, BELMONT, MI 49306-9123
(616) 745-6619
(616) 883-6736
Mailing address
6909 CANNONSBURG RD NE, BELMONT, MI 49306-9123
(616) 745-6619
(616) 883-6736
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410356288
MI
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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