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LAURA DATEMA, CNP

CNP

Nurse Practitioner

NPI: 1861153736IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

4704286319(MI)

CMS Specialties

Education

OTHER

Class of 2019

Contact & Hours

Address
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503

Quick Facts

NPI
1861153736
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
7

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