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General NPI Number Information
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NPI Number | 1609238294
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Entity Type | Individual
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Provider Name | KELSEY SATKOWIAK M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | SHMG NEUROLOGY AND CLINICAL NEUROPSYCHOLOGY, 3RD FLOOR 2750 E. BELTLINE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-8614
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Country | US
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Telephone | 616-267-7104
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Fax |
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Provider Business Mailing Address
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Address Line | SPECTRUM HEALTH MEDICAL GROUP 100 MICHIGAN ST MC845
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone | 804-828-9783
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301504225
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | 4301504225
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License Number State | MI
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