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Mikaela Gibbons
NPI 1659269009 · on the registry since 2025
Practice
- Address
- 4239 S Castle Ridge Dr Se Apt 129
Grand Rapids, MI 49508 - Phone
- (616) 498-3005
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-25
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