Individual
MRS. ANDREA C KORT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
733 ALGER ST SE, GRAND RAPIDS, MI 49507-3530
(616) 243-9515
(616) 243-1815
Mailing address
733 ALGER ST SE, GRAND RAPIDS, MI 49507-3530
(616) 243-9515
(616) 243-1815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301078413
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4636407
—
MI
Enumeration date
10/18/2005
Last updated
07/08/2007
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