Individual
JAMI WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(231) 799-5223
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
03/15/2019
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