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Organization

NEUROLOGICAL ASSOCIATES OF WEST MI, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. D EUGENE WILEY M.D. (PRESIDENT/PHYSICIAN PARTNER)
(616) 957-4090
Entity
Organization

Contact information

Practice address
2855 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49506-1221
(616) 957-4090
(616) 957-4095
Mailing address
2855 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49506-1221
(616) 957-4090
(616) 957-4095

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
04/26/2006
Last updated
10/04/2007
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