Individual
KRISTINA LYNDE STOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
1805 MAYFAIR DR NE, GRAND RAPIDS, MI 49503-3834
(858) 382-1009
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704305303
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704305303
MI
Other
Enumeration date
10/11/2019
Last updated
01/31/2024
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