Individual
CHRISTINE L HEKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 CHERRY ST SE, GRAND RAPIDS, MI 49503-4601
(616) 774-7005
Mailing address
425 CHERRY ST SE, GRAND RAPIDS, MI 49503-4601
(616) 774-7005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704226111
MI
Other
Enumeration date
05/21/2010
Last updated
02/14/2012
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