Individual
DR. JAMES PATRICK WIADUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4461 GRAND HAVEN RD, NORTON SHORES, MI 49441-5548
(231) 798-8337
(231) 798-9816
Mailing address
PO BOX 334, GRAND HAVEN, MI 49417-0334
(231) 798-8337
(231) 798-9816
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301066579
MI
2084P0805X
Geriatric Psychiatry Physician
4301066579
MI
Other
Enumeration date
07/18/2006
Last updated
01/02/2020
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