Individual
LAUREN WEESSIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3304 COOLEY CT, PORTAGE, MI 49024-7430
(269) 341-2266
Mailing address
3304 COOLEY CT, PORTAGE, MI 49024-7430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006754
MI
Other
Enumeration date
09/10/2013
Last updated
05/29/2026
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