Johanna Kegerreis

NPI #1154146314 in Grass Lake, Michigan

Provider Information

NPI Number: 1154146314
Entity Type: Individual
Name: Johanna Kegerreis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 21, 2024
Last Updated: Nov 21, 2024

Practice Location

Address: 2995 WOLF LAKE RD
City: Grass Lake
State: Michigan
ZIP Code: 49240-9825
Phone: (517) 416-2807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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