Individual
DANIEL EVAN WESTRATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8278
Mailing address
2202 KENOWA AVE SW, GRAND RAPIDS, MI 49534-6535
(231) 638-3234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5302043702
MI
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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