Individual
KIRSTEN L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1787 GRAND RIDGE CT NE, SUITE 201, GRAND RAPIDS, MI 49525-7042
(616) 913-8601
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 913-8050
(616) 913-1818
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301054890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3412393
—
MI
05
—
3418539
—
MI
05
—
4120150
—
MI
05
—
4877410
—
MI
05
—
4878776
—
MI
Enumeration date
07/12/2006
Last updated
07/08/2007
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