Individual
FOLABO Y DARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH STREET SE, GRAND RAPIDS, MI 49548
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56516
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750644548
—
MI
Enumeration date
06/18/2012
Last updated
11/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us