Individual
GRETCHEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2027 BOSTON ST SE, GRAND RAPIDS, MI 49506-4180
(616) 307-8956
Mailing address
2027 BOSTON ST SE, GRAND RAPIDS, MI 49506-4180
(616) 307-8956
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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