SearchMichigan235Z00000X

Mallory Groenevelt

NPI 1992393219 · on the registry since 2021

Practice

Address
16925 Ability Way
Grand Haven, MI 49417
Phone
(616) 935-7606
Organisation at this address
The Shoreline Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-03

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