Individual
DR. CHAD WILFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
5838 METRO WAY SW, WYOMING, MI 49519-9619
(616) 249-5300
Mailing address
7682 CIDERMILL DR SE, GRAND RAPIDS, MI 49508-7604
(616) 292-2954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704277824
MI
363LA2100X
Acute Care Nurse Practitioner
4704277824
MI
Other
Enumeration date
01/28/2018
Last updated
03/26/2024
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