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Organization

JAMES L. WIELAND,D.D.S.,P.L.C.

Active
Other names
NA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES LOUIS WIELAND D.D.S. (DENTIST)
(616) 241-2659
Entity
Organization

Contact information

Practice address
3167 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-1475
(616) 241-2659
(616) 241-0289
Mailing address
3167 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-1475
(616) 241-2659
(616) 241-0289

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901011153
MI

Other

Enumeration date
11/07/2007
Last updated
11/07/2007
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