Individual
SARA VANBRONKHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301108468
MI
2084P0800X
Psychiatry Physician
Primary
4301507541
MI
2084P0804X
Child & Adolescent Psychiatry Physician
293558
NY
Other
Enumeration date
07/01/2015
Last updated
11/04/2022
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