Individual
COLLEEN MACLAUCHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
952 4 MILE RD NW, 2C, GRAND RAPIDS, MI 49544-7371
(989) 859-6477
Mailing address
952 4 MILE RD NW, 2C, GRAND RAPIDS, MI 49544-7371
(989) 859-6477
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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