Individual
MR. ALEX DALE BYLSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1787 GRAND RIDGE CT NE STE 101, GRAND RAPIDS, MI 49525-7042
(616) 252-4540
(616) 252-4595
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704306035
MI
Other
Enumeration date
10/10/2017
Last updated
02/08/2019
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