Individual
JULIE JEANNE GORTSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 CONRAN DR STE B, COOPERSVILLE, MI 49404-1347
(616) 267-7860
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003152
MI
Other
Enumeration date
05/22/2006
Last updated
04/14/2025
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