Ross Daniel Kooienga
ActiveMichigan license 5601007977
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601007977
- Status
- Active
- First issued
- September 26, 2016
- Expires
- September 26, 2028
- License holder
- Ross Daniel Kooienga
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons
Contact
100 Michigan St NE
Mc127
Grand Rapids, MI 49503
Mc127
Grand Rapids, MI 49503
Kent County