Individual
MRS. BRENDA LEE PAWL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.N., A.P.R.N., B.
Contact information
Practice address
214 FULTON ST E STE 200, GRAND RAPIDS, MI 49503-3211
(616) 726-2455
(616) 726-2456
Mailing address
214 FULTON ST E STE 200, GRAND RAPIDS, MI 49503-3211
(616) 726-2455
(616) 726-2456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L810467
MI
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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