Individual
SHELLY EVELYN WOLFROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 248-5163
(616) 243-2302
Mailing address
PO BOX 141, GRAND RAPIDS, MI 49501-0141
(616) 248-5163
(616) 243-2302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704251002
MI
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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