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Joann Southern, 2705001197
NPI 1578847612 · on the registry since 2011
Practice
- Address
- 2893 28th St Se
Grand Rapids, MI 49512 - Phone
- (616) 241-1216
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-07
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