Individual
CHRISTOPHER LEE WEDEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 VAN OMMEN DR, HOLLAND, MI 49424-8085
(616) 399-4946
Mailing address
2450 VAN OMMEN DR, HOLLAND, MI 49424-8085
(616) 399-4946
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301074733
MI
207Q00000X
Family Medicine Physician
4301074733
MI
Other
Enumeration date
10/25/2006
Last updated
03/17/2011
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