Individual
CARL WIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2144 E PARIS AVE SE STE 240, GRAND RAPIDS, MI 49546-6117
(616) 949-8945
(616) 949-1115
Mailing address
2144 E PARIS AVE SE STE 240, GRAND RAPIDS, MI 49546-6117
(616) 949-8945
(616) 949-1115
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
4301096643
MI
Other
Enumeration date
02/02/2007
Last updated
06/12/2023
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