# GERALD VAN WIEREN, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740431832
- **Authorized official:** MRS. SUZANNE MARTHA VANWIEREN M.N (OFFICE MANAGER)
- **Authorized official phone:** (231) 834-5676

## Contact information

- **Practice address:** 71 S FRONT ST, GRANT, MI 49327
- **Practice address phone:** (231) 834-5676
- **Practice address fax:** (231) 834-7211
- **Mailing address:** 71 S FRONT ST, GRANT, MI 49327
- **Mailing address phone:** (231) 834-5676
- **Mailing address fax:** (231) 834-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 09/16/2009