Individual
DR. JULI S WEMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
455 CHERRY ST SE, GRAND RAPIDS, MI 49503-4658
(616) 458-8593
(616) 458-0738
Mailing address
2965 E FULTON ST, GRAND RAPIDS, MI 49506-1811
(616) 954-2279
(616) 458-0738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011979
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D119790
BCBS PROVIDER ID #
MI
Enumeration date
02/08/2006
Last updated
03/23/2009
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