Most Relevant Information
Provider Data
| NPI Number: | 1003487224 |
| Provider Name: | GRACE LOUISE COLSON PNP-AC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704340145 |
Most Important Dates
| Enumeration Date: | 07/08/2021 |
| Last Updated: | 06/19/2024 |
Provider Practice Location
8333 FELCH ST
ZEELAND
MI
494642608
Practice Location Phone/Fax
| Phone: | 6167727530 |
| Fax: |
Provider Mailing Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |