SearchMichigan1041C0700X

Marissa Bultsma

NPI 1407708969 · on the registry since 2026

Practice

Address
1403 60th St Se
Kentwood, MI 49508
Phone
(616) 485-9561
Clinicians at this address
9

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan