Individual
DR. GERALD M WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
6240 MCKINLEY RD, MARINE CITY, MI 48039
(810) 278-1732
Mailing address
6240 MCKINLEY RD, MARINE CITY, MI 48039
(810) 278-1732
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901014631
MI
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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