NPI 1073232542

Willis Kim Kern-Ruesink

Practitioner Peer Specialist Adrian, MI

Practice location

Address: 1040 S Winter St STE 1022, Adrian, MI 49221-3876
Phone: (517) 263-8905

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1073232542
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2022
Record last updated: 26 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.