SearchMichigan1041C0700X

Anissa Eddie

NPI 1740594720 · on the registry since 2010

Practice

Address
1532 Pine Ave Nw
Grand Rapids, MI 49504
Phone
(616) 247-3815
Fax
(616) 245-0450

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
2010-08-02

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