person
Quinn Alyse Icke
Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan
NPI 1306589940

Quinn Alyse Icke is a Student in an Organized Health Care Education/Training Program based in Grand Rapids, MI. Quinn Alyse Icke practices in Grand Rapids, MI. The NPI Number for Quinn Alyse Icke is 1306589940 and holds a License No. (Michigan).

The current practice location address for Quinn Alyse Icke is 330 Barclay Ave Ne Ste 300, Grand Rapids, MI and can be reached out via phone at 163-916-2436.

Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI, 49503-2527
person
Provider Profile Details
NPI Number
1306589940
Provider Name
Quinn Alyse Icke
Credential
Provider Entity Type
Individual
Gender
Female
Address
330 Barclay Ave Ne Ste 300, Grand Rapids, MI, 49503-2527
Phone Number
163-916-2436
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
330 Barclay Ave Ne Ste 300
City
State
Zip
49503-2527
Phone Number
163-916-2436
Fax Number
person
Provider Business Mailing Address Details
Address
330 Barclay Ave Ne Ste 300
City
State
Zip
49503-2527
Phone Number
163-916-2436
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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