Individual
SALLY RUTH HAADSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 W BROADWAY AVE, MUSKEGON, MI 49441-3528
(231) 206-3704
Mailing address
1216 W BROADWAY AVE, MUSKEGON, MI 49441-3528
(231) 206-3704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704163877
MI
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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