Individual
JANE ALISON KOTARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
330 BARCLAY AVE NE, SUITE 200, GRAND RAPIDS, MI 49503-2556
(616) 391-2802
(616) 391-2840
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704118432
MI
Other
Enumeration date
06/04/2006
Last updated
07/07/2022
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