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Individual

DR. ALANNA JOY WIARDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5171 PLAINFIELD NE, GRAND RAPIDS, MI 49525
(616) 685-8350
Mailing address
245 STATE ST SE, STE 1A, GRAND RAPIDS, MI 49503

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301086598
MI

Other

Enumeration date
05/01/2007
Last updated
09/11/2012
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