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Organization
GERALD VAN WIEREN, M.D., P.C.
Active
Organization
GERALD VAN WIEREN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE MARTHA VANWIEREN M.N (OFFICE MANAGER)
(231) 834-5676
Entity
Organization
Contact information
Practice address
71 S FRONT ST, GRANT, MI 49327
(231) 834-5676
(231) 834-7211
Mailing address
71 S FRONT ST, GRANT, MI 49327
(231) 834-5676
(231) 834-7211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
09/16/2009
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