Individual
ASHLEY LYNN GROENENDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2009 HOLTON RD, MUSKEGON, MI 49445-1578
(231) 291-8399
Mailing address
100 MICHIGAN STREET NE MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006153
MI
Other
Enumeration date
09/06/2011
Last updated
03/04/2021
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