Individual
MRS. CHERYL LYNN KRUITHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2093 HEALTH DR SW, SUITE 302, WYOMING, MI 49519-9691
(616) 252-5201
(616) 252-5200
Mailing address
5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704172637
MI
Other
Enumeration date
09/24/2010
Last updated
12/01/2017
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