Individual
JUNWEN LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7128 FULTON ST E, ADA, MI 49301-8413
(616) 825-3530
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301503841
MI
Other
Enumeration date
05/29/2014
Last updated
08/02/2021
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