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Brian Kooiker

NPI 1740718394 · on the registry since 2017 · sole proprietor

Practice

Address
6909 Cannonsburg Rd Ne
Belmont, MI 49306
Phone
(616) 745-6619
Fax
(616) 883-6736

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-26

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