Individual
MS. JENNIFER A FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROSTHETIST CP
Contact information
Practice address
230 MICHIGAN ST NE, SUITE 300, GRAND RAPIDS, MI 49503
(616) 459-7101
(616) 942-2146
Mailing address
1111 LEFFINGWELL AVE NE, SUITE 300, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 942-2146
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP003398
MI
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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