Organization
ARBOR CIRCLE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER HENRY WIEGERS LMSW (PROGRAM MANAGER)
(616) 459-7215
Entity
Organization
Contact information
Practice address
3736 GROVELAND AVE SW, WYOMING, MI 49519-3731
(616) 249-0633
(616) 451-0020
Mailing address
3736 GROVELAND AVE SW, WYOMING, MI 49519-3731
(616) 249-0633
(616) 451-0020
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6801017474
MI
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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