Individual
SWANEE KOOISTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3200 EAGLE PARK DR NE STE 102, GRAND RAPIDS, MI 49525-7057
(616) 285-9090
Mailing address
3200 EAGLE PARK DR NE STE 102, GRAND RAPIDS, MI 49525-7057
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704109039
MI
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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