Individual
JANE SIELSKI BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.-C
Contact information
Practice address
2776 S STATE RD, IONIA, MI 48846-8472
(616) 775-7500
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704354383
MI
Other
Enumeration date
02/23/2017
Last updated
03/25/2024
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