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Mikaela Roach

NPI 1962141697 · on the registry since 2022

Practice

Address
42 44th St Sw
Grandville, MI 49418
Phone
(616) 344-4508
Clinicians at this address
102

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-29

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