Individual
CAROL L. DEWEERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 W OAK ST, SUITE 201, FREMONT, MI 49412-1575
(231) 924-4200
(231) 924-4064
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
072125
MI
Other
Enumeration date
05/13/2006
Last updated
03/02/2021
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