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Individual

KIMBERLY TEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
25 CONRAN DR, SUITE B, COOPERSVILLE, MI 49404-1366
(616) 267-7860
(616) 267-7861
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003450
MI

Other

Enumeration date
10/03/2006
Last updated
03/03/2021
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