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Individual

INGRID BERDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6272
(616) 808-2695
(616) 808-2697
Mailing address
1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6272
(616) 808-2695
(616) 808-2697

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704260236
MI

Other

Enumeration date
07/18/2015
Last updated
07/18/2015
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