Phillip Nienhuis LMSW

NPI 1205976784 - Social Worker - 1041C0700X

NPI Details
NPI 1205976784
Gender Male
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
GRAND RAPIDS MI, 49503-1201, US
Phone (616) 224-7617
Fax (616) 224-7493
Business Location
PO BOX 294
GRAND RAPIDS MI, 49501-0294, US
Phone (616) 224-7617
Fax (616) 224-7593
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801087202
Remove 1205976784 NPI Number

According to our database, Phillip Nienhuis LMSW NPI is 1205976784, taxonomy code is 1041C0700X and license number is 6801087202, license state is located at Michigan. Phillip Nienhuis LMSW physically located at 901 Eastern Ave Ne, Grand Rapids MI, 49503-1201. NPI Number Phillip Nienhuis LMSW has the Individual type.

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1205976784 NPI number is provided on an as is basis without warranty of any kind. 1205976784 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip Nienhuis LMSW are for informational purposes only.