Individual
MICHAEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 258-7467
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704313151
MI
363LF0000X
Family Nurse Practitioner
4704313151
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704313151
MI
Other
Enumeration date
05/13/2019
Last updated
11/04/2024
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